Our unit is trying to develop a Nure Initiated Iron Protocol. We were unable to find any Anemia Managment Guidelines. Could anybody assist us with this?

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joanne,h, Nurse from Australia asked
Our unit is trying to develop a Nure Initiated Iron Protocol. We were unable to find any Anemia Managment Guidelines. Could anybody assist us with this?

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What we do in our Center is as follows.
Check for Iron Stores by doing Transferrin Saturation(TSat) and Serum Ferritin(SF). If TSat is below 20% and/or SF is below 200, we admit the PD patient with anemia as a day care admission and give 5 ampoules of Iron Sucrose(that is 500 mg) as IV Infusion with 100ml of saline over 60 minutes (test dose is not compulsory but we give one). We repeat the same procedure one week later.
Recheck TSat and SF after 2 Weeks and repeat the above cycle once again if they are less than 20% and 200 respectively.
If they are above 20% and 200, then recheck the values after 3 months and follow the same algorithm

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