IV Iron

Indication: Severe iron-deficiency anemia (Hb <9 g/dL) especially if there is ongoing bleeding Rate of bleeding too brisk for oral iron Time-sensitive pressures (eg, an urgent surgical procedure; observational studies of the use of IV iron preoperatively for patients with anemia have shown a reduced rate of red cell transfusion being required) Severe anemia of […]

IV Iron for Anemia in the ED

Iron Sucrose (Venofer) Ferumoxytol (Feraheme) Dose (Max) 300mg in 250mL NS 510mg in 17mL (add to 50ml NS) Infusion Time 2 hrs 15-60 mins Serious Hypersensitivity 0.6 per million <5 in 1000 Cost $120 $200 Patients with the following risk factors should receive slower infusions (e.g. Feraheme® [ferumoxytol] over 60 minutes or Venofer® [iron sucrose] […]