title: Successful use of sodium ferric gluconate in sucrose in a patient with multiple drug allergies.
abstract: This is not a controlled study but an anecdotal experience that resulted in improved outcomes in a patient with multiple allergies, including iron dextran. Target Hct/Hgbs were attained and exceeded, although iron indices were not fully achieved. Infections demonstrated RE blockade and failure of TSAT to reach target range. The multidisciplinary team's successful decision to trial SFG in a medically complex patient allowed profound iron deficiency to be treated safely and effectively, which was not possible prior to the availability of an alternate iron preparation. It is rewarding to have the option to offer a medication that improves patients' status and enhances outcomes. Mr. C. was less tired and had more energy following his first and subsequent courses of therapy. "I couldn't believe how tired I was without realizing it until after I finished a course of iron therapy. I just thought that was my quality of life on dialysis. It's much better now and I have more energy." Such comments justify our efforts on our patients' behalf.
authors.affiliation: Dialysis Services, Hartford Hospital, Hartford, CT, USA.
authors.forename: K C
authors.initials: KC
authors.lastname: Robbins
authors.forename: C
authors.initials: C
authors.lastname: Orfitelli
mesh_terms: D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000188:drug therapy* / Q000209:etiology / Q000378:metabolism; D004338:Drug Combinations; D004342:Drug Hypersensitivity / Q000209:etiology*; D005290:Ferric Compounds / Q000627:therapeutic use*; D005293:Ferritins / Q000097:blood; D006400:Hematocrit; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D007505:Iron-Dextran Complex / Q000009:adverse effects*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D010347:Patient Care Planning; D006435:Renal Dialysis / Q000009:adverse effects / Q000451:nursing; D013395:Sucrose / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D004338:Drug Combinations; D005290:Ferric Compounds; D006454:Hemoglobins; D013395:Sucrose; D007505:Iron-Dextran Complex; D005293:Ferritins; C035552:ferric gluconate