Name of the Procedure:

Common Name: Iron Injection
Medical Term: Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis) (Q0139)

Summary

Ferumoxytol injection is a medical procedure used to treat iron deficiency anemia in patients with chronic kidney disease on dialysis. The medication is administered intravenously to replenish iron levels in the body.

Purpose

This procedure addresses iron deficiency anemia, a condition characterized by low levels of iron in the blood, often seen in patients with chronic kidney disease undergoing dialysis. The goal is to restore normal iron levels, thereby improving hemoglobin levels and reducing symptoms like fatigue and weakness.

Indications

• Chronic kidney disease (CKD) patients on dialysis.
• Iron deficiency anemia confirmed through blood tests.
• Symptoms such as persistent fatigue, weakness, and shortness of breath.

Preparation

• No specific fasting or dietary restrictions typically required.
• Review of current medications with healthcare provider.
• Blood tests to confirm iron deficiency anemia and renal function.

Procedure Description

1. A healthcare provider will clean the injection site on the patient's arm.
2. An intravenous (IV) line is inserted into a vein.
3. Ferumoxytol is slowly injected into the IV line over a few minutes.
4. The patient is monitored for any immediate reactions post-injection.

Duration

The procedure generally takes about 15-30 minutes including preparation and monitoring time.

Setting

The injection is typically administered in an outpatient dialysis center or a hospital setting.

Personnel

• Nephrologist or dialysis nurse to administer the injection.
• Medical assistant to help with preparation and monitoring.

Risks and Complications

• Common risks: mild headaches, dizziness, nausea.
• Rare but serious risks: severe allergic reactions, low blood pressure.
• Management: Immediate medical intervention for severe reactions, close monitoring.

Benefits

• Improved iron levels and hemoglobin count.
• Reduction of symptoms such as fatigue and weakness.
• Benefits can be noticed within a few weeks.

Recovery

• Patients can usually resume normal activities shortly after the procedure.
• Follow-up appointments may be scheduled to monitor iron levels and overall health.
• Any post-procedure symptoms should be reported to the healthcare provider.

Alternatives

• Oral iron supplements: Slower effect, potential for gastrointestinal side effects.
• Other intravenous iron preparations: Similar in effect, different dosing schedules.

Patient Experience

• During the procedure, patients might feel a slight discomfort from the IV insertion.
• Some may experience mild side effects like dizziness or headache.
• Pain management typically involves over-the-counter pain relief, but most patients do not require it.