Depot Iron
Exact Iron Deficit
TOTAL DOSE (ROUNDED)
REQUIRED AMPULES
Total Iron Deficit
Total Vials Required (100mg/5ml)
Safety Thresholds
Max Dose/Session (7mg/kg): 0 mg Max Dose/Week: 500 mgTotal Clinic Visits: 0 visits
| Week | Day / Date | Iron Dose | NaCl 0.9% | Duration |
|---|
J.PKSG.KKIA.RK35
A) PARAMETER REQUIRED
Pre-pregnancy body weight (BW): kg
Current Hb level (Actual Hb): g/dL
Target Hb: g/dL
Depot iron: if BW > 35kg = 500mg, if BW ≤ 35kg = 15mg/kg
B) CALCULATION
Total iron deficit (mg) = BW (kg) x (Target Hb - Actual Hb) x 2.4 + Depot iron (mg)
Total iron deficit = kg x ( - g/dL) x 2.4 + mg
= mg
100 mg = 2 ml (1 ampoule)
Total iron deficit (mg) = Total cosmofer to be administer (ml)
mg = ml
Number of ampoules to be administered = ampoules
Example: In a pregnant woman with a weight of 50 kg during booking visit and her current haemoglobin level is 9.0 g/dl her total iron requirement is:
50 x [13 - 9] x 10 x 0.24 + 500 = 980 mg;
The total dose can be rounded off to 100 mg increments, e.g. total dose calculated = 980 mg ≈ 1000 mg (10 ampules)
1. Test dose: 25mg (0.5 mL) in 100 ml NS over 15 minutes.
2. If no reaction, remainder diluted in 400 mL NS at 100 mL per hour.
Patient Name: ___________________________
I/C Number: _____________________________
A) PARAMETER REQUIRED
| Pre-pregnancy body weight (BW) | : | kg |
| Current Hb level (Actual Hb) | : | g/dL |
| Target Hb | : | g/dL |
| Depot iron | : | if BW > 35kg = 500mg if BW ≤ 35kg = 15mg/kg |
B) CALCULATION
| Total iron deficit | = | kg x ( - g/dL) x 2.4 + mg |
| = | mg |
| Total Iron Deficit (mg) | = | Total Venofer to be administer (ml) |
| mg | = | ml |
| Number of ampoules to be administered | = |
C) ADMINISTRATION REGIME
Max tolerable dose (7mg/kg): mg/session
Max dose per week: 500 mg
Note: Dilution rate 1ml Venofer (20mg) in 20ml 0.9% NaCl.
100mg = 100ml (15 min) | 200mg = 200ml (30 min) | 500mg = 500ml (3.5 hours)
J.PKSG.KKIA.RK19
| Week | Day / Date | Iron Dose | NaCl 0.9% | Duration |
|---|
Calculated by:
______________________
Checked by:
______________________