IRON INFUSION ORDERS

  • PRESCRIPTION FOR GENEVA WOODS INFUSION PHARMACY

  • Venofer 1,000 mg divided into three doses, given
    intravenously over a period of 28 days.
    Dose #1 will be 300 mg
    Dose #2 will be 300 mg, given approximately
    2 weeks after the first dose
    Dose #3 will be 400 mg, given approximately
    2 weeks after the second dose
  • Injectafer 1500 mg intravenously divided into two
    equal doses, separated by at least 7 days
    Dose #1 will be 750 mg
    • Dose #2 will be 750 mg, given at least 7 days
    after the first dose
    Please note: Injectafer is Pregnancy Risk Factor Category C
  • Dilution, Infusion Rate, and Administration Method per Geneva Woods Pharmacy protocol

  • • If no central intravenous access, Geneva Woods nurse to insert peripheral IV per Geneva Woods Pharmacy protocol.
    Initiate the first infusion with first dose precautions per Geneva Woods Pharmacy protocol, to include monitoring the patient for one hour post-infusion.
    VENOFER: Geneva Woods nurse to obtain baseline vital signs prior to the start of each Venofer infusion. For the first infusion, obtain additional vital signs at 15 minutes and then every 30 minutes until the infusion is complete as well as 30 and 60 minutes post-infusion. If no side effects are noted after the monitoring period, the patient may be discharged to home. For the second and subsequent infusions, obtain additional vital signs upon completion of the infusion. If no side effects are noted, the patient may be discharged to home when the infusion is complete.
    INJECTAFER: Geneva Woods nurse to obtain baseline vital signs prior to the start of each Injectafer infusion. For the first infusion, obtain additional vital signs every 15 minutes until the infusion is complete as well as 30 and 60 minutes post-infusion. For the second and subsequent infusions, obtain additional vital signs upon completion of the infusion and 30 minutes post-infusion. If no side effects are noted after the monitoring period, the patient may be discharged to home.
  • Adverse Side Effect Orders: For severe allergic reactions or anaphylaxis: Stop infusion, initiate hypersensitivity protocol, and contact prescriber. Re-challenge only by order of the prescriber
  • • Acetaminophen 650 mg PO q4 hours PRN fever, chills, headache
    • Diphenhydramine 20 – 50 mg IV q4 hours PRN urticaria, pruritis, SOB
    • Oxygen by nasal cannula at 2 – 4 LPM as needed for chest pain, SOB
  • •Solu-Medrol 125 mg IV x 1 dose PRN urticaria, pruritis, SOB
    • Epinephrine 0.2 mg – 0.5 mg IV x 1 dose for anaphylaxis
    CALL PRESCRIBER if second dose is needed
  • Please fax completed form to Geneva Woods Infusion Pharmacy
    907.334.8587