What to do if Venofer infiltrates?

Care must be taken to avoid paravenous infiltration. If this occurs, the infusion of VENOFER should be discontinued immediately. Ice may be applied to cause local vasoconstriction and decrease fluid absorption; massage of the area should be avoided.

How do you administer Venofer IV?

Administer Venofer 200 mg undiluted as a slow intravenous injection over 2 to 5 minutes or as an infusion of 200 mg in a maximum of 100 mL of 0.9% NaCl over a period of 15 minutes. Administer on 5 different occasions over a 14 day period.

How is iron extravasation treated?

Acute management of iron extravasation opical therapies, lymphatic drainage and massages have been tried without success. The most evidence for successful reversal of iron staining is with laser therapy. One review assessed 29 patients who had reported accidental staining from iron infusions over a nine-year period.

What is the most common side effect of iron sucrose Venofer?

Side Effects Muscle cramps, nausea, vomiting, strange taste in the mouth, diarrhea, constipation, headache, cough, back pain, joint pain, dizziness, or swelling of the arms/legs may occur. Pain, swelling, or redness at the injection site may occur. If these effects continue or worsen, tell your doctor.

How do you treat IV infiltration?


  1. Stop the infusion.
  2. Remove the IV.
  3. Mark the outline affected area with a marker.
  4. Photograph the affected area.
  5. Apply a hot or cold compress based on the type of IV fluid infiltrated.
  6. Elevate the extremity.
  7. Inject medication into the subcutaneous tissue.

How fast does IV venofer work?

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Venofer dose (mg of iron) Venofer dose (ml of Venofer) Minimum Infusion Time
50 mg 2.5 ml 8 minutes
100 mg 5 ml 15 minutes
200 mg 10 ml 30 minutes

How is iron infiltration treated?

Iron infusion is a procedure in which iron is delivered to your body intravenously, meaning into a vein through a needle. This method of delivering medication or supplementation is also known as an intravenous (IV) infusion. Iron infusions are usually prescribed by doctors to treat iron deficiency anemia.

What are the signs and symptoms of extravasation?

What are signs of an infiltration/extravasation?

  • Redness around the site.
  • Swelling, puffy or hard skin around the site.
  • Blanching (lighter skin around the IV site)
  • Pain or tenderness around the site.
  • IV not working.
  • Cool skin temperature around the IV site or of the scalp, hand, arm, leg or foot near the site.

What do you need to know about Venofer injections?

Venofer Injection Description. Venofer (iron sucrose injection, USP), an iron replacement product, is a brown, sterile, aqueous, complex of polynuclear iron (III)-hydroxide in sucrose for intravenous use.

When to use Venofer for iron replacement in children?

About Venofer Venofer provides IV iron therapy for the treatment of IDA in adult and pediatric patients 2 years and older with CKD. The dosing for iron replacement treatment in pediatric patients with peritoneal-dialysis-dependent CKD, hemodialysis-dependent CKD, or non-dialysis-dependent CKD has not been established.

Is it OK to infuse IV Venofer into a catheter?

If you are speaking to IV Venofer, it has a high pH and can be very irritating to the tissues. Ideally, this is not a medication I would want to infuse into a short term, less than 3 inch IV catheter.

When to take transferrin saturation test after Venofer injection?

Transferrin saturation (TSAT) values increase rapidly after intravenous administration of iron sucrose; do not perform serum iron measurements for at least 48 hours after intravenous dosing [see Dosage and Administration ( 2) and Overdosage ( 10 )]. The following clinically significant adverse reactions are described elsewhere in the labeling: