An Audit of Hypophosphatemia after Intravenous Iron Therapy

نویسندگان

چکیده

Background Due to the gastrointestinal side-effects of oral iron supplementation in patients with deficiency anaemia, which impairs tolerance - many acute medical and haematology day units provide intravenous replacement therapy as cases. Hypophosphatemia is a frequent side effect following administration, can persist for weeks or months, under-recognised clinical practice lead presenting typical features emergency departments. Aim We designed an audit measure incidence symptomatic hypophosphatemia after develop monitoring, prevention, treatment strategy secondary care hospital setting. Methods audited convenience sample consecutive who attended day-care assessment unit (IV) infusion (ferric carboxymaltose). All had serum phosphate levels checked IV at different intervals, from 1- 6 weeks. The cohort was divided into two groups based on occurrence hypophosphataemia early (1-3 weeks) late (>3-6 weeks). Results included 35 referred primary care, gastroenterology, gynaecology, internal medicine. 19 (55%) developed receiving single almost 100% more than one dose. some lasted up 12 Conclusion dose universal multiple doses Iron, Clinicians prescribing ferric carboxymaltose (Ferinject®) should be aware hypophosphataemia, could mild, moderate, severe last months.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Choice of High-Dose Intravenous Iron Preparation Determines Hypophosphatemia Risk

BACKGROUND Ferric carboxymaltose (FCM) and iron isomaltoside 1000 (IIM) are increasingly used because they allow correction of severe iron deficiency in a single infusion. A transient decrease in serum phosphate concentrations is a frequent side effect of FCM. AIM To characterize this adverse event and search for its predictors in a gastroenterology clinic patient cohort. METHODS Electronic...

متن کامل

Intravenous Iron Administration and Hypophosphatemia in Clinical Practice

Introduction. Parenteral iron formulations are frequently used to correct iron deficiency anemia (IDA) and iron deficiency (ID). Intravenous formulation efficacy on ferritin and hemoglobin level improvement is greater than that of oral formulations while they are associated with lower gastrointestinal side effects. Ferric carboxymaltose- (FCM-) related hypophosphatemia is frequent and appears w...

متن کامل

Ferumoxytol as an intravenous iron replacement therapy in hemodialysis patients.

BACKGROUND AND OBJECTIVES Intravenous iron is a key component of anemia management for chronic kidney disease (CKD). Ferumoxytol is a unique intravenous iron product that can be administered as a rapid injection in doses up to 510 mg. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS This was a randomized, open-label, controlled, multicenter Phase 3 trial to evaluate the safety and efficacy of in...

متن کامل

Intravenous iron therapy restores functional iron deficiency induced by infliximab.

BACKGROUND AND AIMS Infliximab (IFX) and iron sucrose (FeS) are of high value in inflammatory bowel disease (IBD). We aimed to assess the relative role of both therapies in IBD related anaemia and their safety when used in combination. METHODS IBD patients with anaemia receiving a first series of FeS infusions in addition to IFX were prospectively followed. We investigated serum kinetics of e...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: The physician

سال: 2023

ISSN: ['2732-513X', '2732-5148']

DOI: https://doi.org/10.38192/1.8.1.13