Intravenous Iron Orders - HUMCMD.net
Intravenous Iron Orders - HUMCMD.net
Intravenous Iron Orders - HUMCMD.net
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ESTIMATION OF IV IRON REQUIREMENT IN ADULT PATIENTS - <strong>Iron</strong> Dextran or Ferric Gluconate (Ferrlecit)<br />
DIRECTION:<br />
1. Use TABLE 1 to obtain IBW (use actual weight if it is less than IBW).<br />
2. Choose your Hemoglobin goal and use TABLE 2 to find the estimated dose of IV IRON (iron dextran or ferric gluconate (Ferrlecit)) in MG based on the<br />
patient’s current Hemoglobin.<br />
TABLE 1: IDEAL BODY WEIGHT (IBW) IN KG - Round weight down to the nearest 5kg<br />
HEIGHT 5ft 1 5ft 2 5ft 3 5ft 4 5ft 5 5ft 6 5ft 7 5ft 8 5ft 9 5ft 10 5ft 11 6ft 6ft 1 6ft 2 6ft 3 6ft 4 6ft 5 6ft 6 6ft 7 6ft 8 6ft 9<br />
MALE 52kg 55kg 57kg 59kg 62kg 64kg 66kg 68kg 71kg 73kg 75kg 78kg 80kg 82kg 85kg 87kg 89kg 91kg 94kg 96kg 98kg<br />
FEMALE 48kg 50kg 52kg 55kg 57kg 59kg 62kg 64kg 66kg 69kg 71kg 73kg 75kg 78kg 80kg 82kg 85kg 87kg 89kg 92kg 94kg<br />
• IBW in kg (male)= 50kg + 2.3kg/inch over 60 inches<br />
• IBW in kg (female)= 45.5kg + 2.3kg/inch over 60 inches (These equations are use to calculated IBW in TABLE 1 above)<br />
TABLE 2: HEMOGLOBIN GOALS - Round dose to the nearest 50 or 100mg<br />
HEMOGLOBIN GOAL = 12 g/dL WEIGHT WEIGHT HEMOGLOBIN GOAL = 13 g/dL HEMOGLOBIN GOAL = 14.8 g/dL<br />
WEIGHT MG of IV IRON based on patient Hgb MG of IV IRON based on patient Hgb MG of IV IRON based on patient Hgb<br />
(kg) 6g/dL 7g/dL 8g/dL 9g/dL 10g/dL (kg) 6g/dL 7g/dL 8g/dL 9g/dL 10g/dL (kg) 6g/dL 7g/dL 8g/dL 9g/dL 10g/dL<br />
40 1320 1100 880 660 440 40 1422 1218 1015 812 609 40 1570 1391 1213 1035 856<br />
45 1485 1238 990 743 495 45 1599 1371 1142 914 685 45 1766 1565 1365 1164 963<br />
50 1650 1375 1100 825 550 50 1777 1523 1269 1015 762 50 1962<br />
55 1815 1513 1210 908 605 55 1955 1675 1396 1117 838 55 2158<br />
60 1980 1650 1320 990 660 60 2132 1828 1523 1218 914 60 2355<br />
65 2145 1788 1430 1073 715 65 2310 1980 1650 1320 990 65 2551<br />
70 2310 1925 1540 1155 770 70 2488 2132 1777 1422 1066 70 2747<br />
75 2475 2063 1650 1238 825 75 2665 2285 1904 1523 1142 75 2943<br />
80 2640 2200 1760 1320 880 80 2843 2437 2031 1625 1218 80 3139<br />
85 2805 2338 1870 1403 935 85 3021 2589 2158 1726 1295 85 3336<br />
90 2970 2475 1980 1485 990 90 3198 2742 2285 1828 1371 90 3532<br />
1739 1516 1293 1070<br />
1913 1668 1423 1177<br />
2087 1819 1552 1284<br />
2261 1971 1681 1391<br />
2435 2123 1811 1498<br />
2609 2274 1940 1605<br />
2783 2426 2069 1712<br />
2957 2578 2199 1819<br />
3131 2729 2328 1926<br />
MG of <strong>Iron</strong> = 0.66 X IBW in kg X [ 100 − (Observed Hgb X 100) ] (This equation is used to estimate the dosages in TABLE 2 above.<br />
Desired Hgb Use this equation if your Hgb goal is different from the above)<br />
FERRIC GLUCONATE (FERRLECIT):<br />
‣ Recommend no more than 125mg per day at 125mg/h per manufacturer and HUMC guidelines.<br />
IRON DEXTRAN:<br />
‣ Recommend no more than 1000mg per day per HUMC guidelines.<br />
‣ Doses higher than 1000mg per day can be prescribed at the discretion of the prescribing physician with staff hematology consultation.<br />
‣ Suggested infusion time is 4-6 hours (shorter infusion time may be appropriate at the discretion of the prescriber and should not be faster than 500mg/h)<br />
JBui\071506<br />
<strong>Intravenous</strong> <strong>Iron</strong> Order Medical Record HUMC NS#5031599 Rev.7/24/06