Columbus NDD
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Columbus NDD. -. CKD . Our Protocol. Fe Deficiency. Fe Deficiency. Tsat. <20%. Adequate Stores. Excess Iron. Tsat. <10%. Tsat. 10. -. 20%. AND. Tsat. 20. -. 50%. Tsat. >50%. &/or. Ferritin. >100. Hgb. >12. Ferritin. 100. -. 500. Ferritin. >500. Ferritin. <100.

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Columbus NDD

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Columbus ndd

Columbus NDD

-

CKD

Our Protocol

Fe Deficiency

Fe Deficiency

Tsat

<20%

Adequate Stores

Excess Iron

Tsat

<10%

Tsat

10

-

20%

AND

Tsat

20

-

50%

Tsat

>50%

&/or

Ferritin

>100

Hgb

>12

Ferritin

100

-

500

Ferritin

>500

Ferritin

<100

Continue to monitor.

If excess iron, hold

Give IV Iron

Give IV Iron

Monitor

Tsat

&

Hct

Q

po

/IV iron (if on).

weekly X 4

weekly X 2

month.

doses unless

doses unless

Hold Iron until

Hgb

<12.

allergic

allergic

Instruct pt on delayed S/E &

OK use of Tylenol for fever,

Myalgia

, chills, nausea, etc.

No

(Flu

-

like

)

sx’s

Outpatient Setting Protocol:

Venofer (Iron Sucrose 100mg/5ml)

-

Administer 200mg (2 vials)

Allergic

-

IV push over 2

-

5 minutes

Reaction

Stop infusion immediately.

-

Monitor

Tsat

,

Ferritin

Q month until in

?

Call physician on call immediately.

target, then Q 3 months

Have ready:

Yes

Benadryl 50mg IV over 1 min

Epinephrine 1:1000 0.3ml SC

Hydrocortisone 100mg IV over 1 min


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