Name of the Procedure:

Injection, Sodium Ferric Gluconate Complex in Sucrose Injection, 12.5 mg

• Common Names: Iron Injection, Ferrlecit Injection
• Technical/Medical Term: Sodium Ferric Gluconate Complex in Sucrose Intravenous Injection

Summary

This procedure involves injecting sodium ferric gluconate complex, an iron replacement medication, directly into the bloodstream to treat iron deficiency anemia. This is typically administered to patients who cannot take oral iron supplements or need rapid replenishment of their iron levels.

Purpose

• Medical Conditions: Iron deficiency anemia, chronic kidney disease (especially in patients undergoing dialysis), and other conditions leading to severe iron deficiency.
• Goals/Outcomes: Increase iron levels in the blood, improve red blood cell production, alleviate symptoms of anemia (such as fatigue and weakness), and enhance overall well-being.

Indications

• Severe iron deficiency anemia unresponsive to oral iron supplements.
• Anemia associated with chronic kidney disease or requiring dialysis.
• Patients who experience gastrointestinal side effects or malabsorption with oral iron supplements.

Preparation

• Pre-Procedure Instructions: Generally, no specific fasting is required. Patients should inform their healthcare provider about any current medications.
• Diagnostic Tests: Blood tests to measure current iron levels, complete blood count (CBC), and kidney function tests may be conducted beforehand.

Procedure Description

1. Preparation: The healthcare provider prepares the sodium ferric gluconate complex injection.
2. Administration: The injection is typically given intravenously (IV) and can be administered through a vein in the arm.
3. Monitoring: Patients are monitored for allergic reactions or side effects during and after the infusion.
   • Tools/Equipment: IV bags, syringes, needles.
   • Anesthesia/Sedation: Not typically required.

Duration

The infusion usually takes about 1 hour but can vary based on hospital protocols and patient condition.

Setting

Typically performed in a hospital, outpatient clinic, or dialysis center.

Personnel

• Registered Nurse (RN) or Licensed Practical Nurse (LPN) administers the injection.
• Physician or nephrologist oversees the procedure and monitors the patient’s medical condition.

Risks and Complications

• Common Risks: Mild allergic reactions, headache, nausea, dizziness.
• Rare Risks: Severe allergic reactions (anaphylaxis), high blood pressure, iron overload.
• Complications Management: Immediate treatment with medications like antihistamines or corticosteroids for allergic reactions, careful monitoring, and adjustments in dosage.

Benefits

• Rapid increase in blood iron levels.
• Improvement in symptoms of anemia often noticed within a few days to weeks.
• Enhanced quality of life and energy levels.

Recovery

• Post-Procedure Care: Monitor for any delayed allergic reactions, drink plenty of fluids.
• Expected Recovery Time: Minimal downtime; most patients can resume normal activities immediately.
• Follow-up: Regular blood tests to monitor iron levels and overall response to treatment.

Alternatives

• Oral Iron Supplements: Pros – Non-invasive, easily accessible. Cons – Slower improvement, gastrointestinal side effects.
• Dietary Changes: Pros – Natural and non-invasive. Cons – Requires consistent adherence, slower effect.
• Other IV Iron Preparations: Pros – Similar efficacy. Cons – Varies in cost and potential side effects compared to sodium ferric gluconate.

Patient Experience

• During Procedure: Patients might feel a slight prick from the needle and may experience an initial cold sensation from the infusion.
• After Procedure: Mild side effects like nausea or headache. Pain management usually involves over-the-counter medications.
• Overall, the procedure is well-tolerated with appropriate medical supervision ensuring patient comfort and safety.