title: Implementing an i.v. iron maintenance regimen protocol in a hemodialysis practice.
abstract: Iron-deficiency anemia is commonly encountered in patients with end-stage renal disease (ESRD) requiring chronic hemodialysis and can occur as a result of blood loss from frequent laboratory tests, blood retention in the dialysis tubing and dialyzer, gastrointestinal (GI) bleeding, repeated access surgery, poor oral iron intake and/or absorption, and low protein diets (Sakiewicz, 1998; Eschbach, 1999). Further compounding the deficiency is the use of recombinant human erythropoietin (EPO), which stimulates erythropoiesis to abnormally high levels and leads to functional iron deficiency in up to 90% of patients (Macdougall, 1995; Sunder-Plassmann, 1997).
authors.affiliation: University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Gilmartin
authors.forename: Kwanta
authors.initials: K
authors.lastname: Na-Thalang
authors.forename: Jose
authors.initials: J
authors.lastname: Arruda
authors.forename: Alan
authors.initials: A
authors.lastname: Lau
mesh_terms: D000368:Aged; D018798:Anemia, Iron-Deficiency / Q000209:etiology / Q000517:prevention & control*; D002985:Clinical Protocols; D000075202:Contraindications; D005260:Female; D006284:Health Plan Implementation; D006801:Humans; D007262:Infusions, Intravenous; D007501:Iron / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods*
chemical_list: D007501:Iron