My preferred iron loading strategy for patients with iron-deficiency and non-dialysis dependent (NND) CKD is to administer 1 gm IV iron in a single infusion and have it paid for by the patient's health insurance. That excludes sodium ferric gluconate and iron sucrose which require 4-5 infusions to a...
I will just discuss dialysis patients now as it would be very complicated to include CKD patients as well. I go by serum ferritin. I don't pay too much attention to transferrin saturation (T. sat). If a patient is anemic and their ferritin is lower than 600-800, I would give iron supplementation in ...
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at University of California Irvine This approach carries the risk of iron overload. F...
at North Idaho Nephrology Associates Inc While following FMC and USRC protocols without dev...
I would not give iv iron to a patient with ferritin of 700 and t. sat of 40% who is not anemic. Looking for other causes of anemia is definitely fine but sometimes it is worth trying iv iron to see if we can improve serum hemoglobin level. I agree that where to draw the line (at what ferritin levels...
I commonly use ferrlecit 187 mg for 5 doses.