Iron SUCfOSeVenofer

Sodium ferric Ferrlecit gluconate

50 ETig/rnL

The dose of iron dextran can be calculated by the following equation: dose (mL) = 0.0442 (desired Hgb-observed Hgb) x body weight + (0.26 x body weight). The body weight that should be used is lean body weight for adults and children weighing more than 15 kg and actual body weight for children weighing 5 to 15 kg. The dose in milligrams can be calculated based on a standard concentration of 50 mg elemental iron per milliliter.14 The prescribing information recommends administering iron dextran in 100-mg aliquots daily until the total dose is achieved. However, anecdotal evidence reports that the total calculated dose can be administered safely over 4 to 6 hours in 1 day. It is important to note that a test dose of iron dextran (0.5 mL over at least 30 seconds) must be administered to patients who are about to receive their first dose of iron dextran because of the risk of anaphylaxis. Patients should be monitored for signs of anaphylaxis for at least 1 hour after the test dose before administering the total dose. Other adverse effects include arthralgias, arrhythmias, hypotension, flushing, and pruritus.

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