IV Iron Dose — Ganzoni Formula
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Mẹo Chuyên Nghiệp
In patients with inflammatory conditions (CKD, IBD, cancer), serum ferritin is an acute-phase reactant and may be falsely elevated despite true iron deficiency. Use transferrin saturation (TSAT) as a more reliable indicator of functional iron availability — TSAT <20% alongside ferritin <100 mcg/L (or <300 mcg/L in CKD) supports iron deficiency even when ferritin appears adequate.
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The human body contains approximately 3–5 grams of iron in total — enough to make a small nail. Of this, about 70% is in haemoglobin, 10% in myoglobin, and the rest in storage proteins ferritin and haemosiderin. The body loses only 1–2 mg of iron per day through skin shedding and GI losses, but menstruating women lose an additional 15–25 mg per menstrual cycle, explaining the high prevalence of iron deficiency in this group.
Tài liệu tham khảo
- ›Ganzoni AM. Intravenous iron dextran: therapeutic and experimental possibilities. Schweiz Med Wochenschr. 1970;100(7):301-303.
- ›Camaschella C. Iron-deficiency anemia. N Engl J Med. 2015;372(19):1832-1843.
- ›Muñoz M et al. Patient blood management in obstetrics: management of anaemia and haematinic deficiencies in pregnancy and in the post-partum period. Transfus Med. 2018;28(1):22-39.
- ›NICE. Iron deficiency anaemia: management (QS114). 2016.
- ›Ponikowski P et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2016;37(27):2129-2200.
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