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Based on Ganzoni's formula: (Body weight (kg) x (target Hb - actual Hb) (g/dl) x 2.4) + mg iron for iron
stores
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Kindly fill in:Note:
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Body weight (kg)60
Use Ideal Body weight if BMI > 30kg/m2; Use pre-pregnancy weight for pregnant women
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Current Hb or Initial Hb (g/dl)8
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Target Hb (g/dl)11
12 for female, 13 for male
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Iron stores (mg)500
< 35 kg body weight = 15 mg/kg body weight
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> 35 kg body weight = 500 mg
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Exact Iron dose Calculated (mg)932
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TOTAL IRON DOSE NEEDED (MG)
(Rounded up/down to the nearest 100mg)		900
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**Maximum Iron dose / day for this patient: 1200(Maximum: 20mg/kg/day)
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a.IV Cosmofer 25
mg test dose in 100ml NS over 30minutes infusion,then observe for 1 hour (200ml/H)
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(Total Dose Infusion)875
mg* in 1 pint Normal Saline infused over 4 hours (125ml/H)
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*note: Maximum iron per DAY for this patient is 1200mg/day (20mg/kg/DAY)
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If total iron dose is > 20mg/kg, kindly split the dose and serve the remaining dose the next day.
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b.IV Cosmofer Split doses
(Patient with ROF):		25
mg test dose in 20cc NS over 20 minutes infusion (60ml/H) , then observe for 1 hour (for first dose only)
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200mg 1 - 3 times per week for5doses
(First dose is 175mg after minus test dose 25mg)
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Dilution: Withdraw 200mg & dilute in 100ml NS infused over 1 hour (100ml/H)
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c.IV Venofer 20
mg test dose in 20cc NS over 15 minutes infusion (80ml/H), then observe for 1 hour (prior first dose only)
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(JKUT Hematologi & Nephrologi)200mg 1 - 3 times per week for5doses
(First dose is 180mg after minus test dose 20mg)
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Dilution: withdraw 200mg & dilute in 100ml NS infused over 1 hour (100ml/H)
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Maximum Venofer dose per week:
< 45kg: 7mg/kg/week
> 45kg: 600mg/week
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d. IV Monofer 900
mg (#) in 100 ml NS over 1 hour (100ml/H)
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(JKUT Hematologi & Cardiology)
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# note: Maximum iron PER WEEK for this patient is 1200
mg/Week (20mg/kg/WEEK)
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If total iron dose is > 20mg/kg, kindly split dose and serve the remaining dose after 1 week interval.
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Note:
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For details of various iron preparations and monitoring parameters, please refer to HKL PREFER protocol available at:
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https://sites.google.com/view/parenteral-iron-protocol-hkl/home
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This iron calculation guide is designed to help healthcare workers in Hospital Kuala Lumpur to calculate total iron dose easily.
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It should be interpreted in light of professional knowledge and supplemented as necessary by reference to the product literature.
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For any feedback or queries, kindly contact pharmacists in Parenteral Iron Team HKL (03-2615 5555 Ext: 5151)
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“PREFER iron, save bloods"
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Last updated: 20/7/2022
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