Name of the Procedure:

Injection, ferric carboxymaltose, 1 mg
Common name: Iron Injection
Technical/Medical term: Ferric Carboxymaltose Injection

Summary

The injection of ferric carboxymaltose is a procedure used to administer iron directly into the bloodstream. This method is typically used for patients whose bodies cannot absorb iron adequately through oral supplements or who need a rapid increase in their iron levels.

Purpose

The procedure is designed to treat iron deficiency in patients. It helps to:

• Correct iron deficiency anemia
• Improve iron levels in patients with chronic kidney disease, heart failure, or other conditions that inhibit oral iron absorption
• Rapidly restore iron levels in cases of severe deficiency

Indications

• Iron deficiency anemia not responsive to oral iron
• Chronic kidney disease-associated anemia
• Postpartum anemia
• Chemotherapy-induced anemia
• Individuals with gastrointestinal disorders affecting iron absorption (e.g., Crohn's disease, celiac disease)
• Patients undergoing major surgery with significant blood loss

Preparation

• Pre-procedure blood tests to check iron levels and overall health
• Patients may be instructed to stay hydrated
• Discuss any current medications with the healthcare provider, as certain medications may need to be adjusted

Procedure Description

1. The patient is seated or lying comfortably.
2. A suitable intravenous (IV) site is selected, usually in the arm.
3. The area is cleaned with an antiseptic solution.
4. A small IV catheter is inserted into the vein.
5. Ferric carboxymaltose is administered through the IV. The dose depends on the patient's iron levels and overall health.
6. The IV site is monitored for any immediate reactions.

No anesthesia or sedation is typically required, but local anesthesia may be used at the insertion site if necessary.

Duration

The entire procedure usually takes about 15-30 minutes, including setup and monitoring.

Setting

This procedure is generally performed in an outpatient clinic, hospital, or specialized infusion center.

Personnel

• Registered Nurse (RN) or Licensed Practical Nurse (LPN) for IV insertion and monitoring
• Physician or Nurse Practitioner to oversee the treatment and manage dosing

Risks and Complications

Common risks:

• Mild swelling or bruising at the injection site
• Headache
• Dizziness Rare risks:
• Allergic reactions including anaphylaxis
• Hypotension (low blood pressure)
• Iron overload

Benefits

• Rapid increase in iron levels
• Improvement in symptoms of iron deficiency (fatigue, weakness)
• Enhanced quality of life as anemia symptoms decrease Improvements can be realized within a few days to a couple of weeks.

Recovery

• Post-procedure monitoring for immediate adverse reactions
• Patients can typically return to their normal activities shortly after the procedure
• Follow-up blood tests may be required to monitor iron levels
• Patients should follow any specific dietary or medication guidelines provided by their healthcare provider

Alternatives

• Oral iron supplements: Generally used for milder cases but may cause gastrointestinal side effects and take longer to be effective.
• Dietary adjustments: Increasing iron-rich foods can be helpful but may not be sufficient for severe deficiencies.
• Other IV iron formulations: Available options include iron sucrose, iron dextran, each with varied dosing schedules and risk profiles.

Patient Experience

During the procedure:

• Patients might feel a slight pinch during the IV insertion
• Mild discomfort at the IV site is possible After the procedure:
• Most patients experience minimal discomfort
• Awareness of possible immediate side effects like dizziness or headache
• Pain management is generally not required beyond basic over-the-counter analgesics if needed

Comfort measures include ensuring the patient is seated or lying in a comfortable position and having a relaxing environment during the procedure.