Unique Plan Description: Heart Failure Iron Deficiency Protocol (JE)
Plan Selection Display: Heart Failure Iron Deficiency Protocol (JE)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2019-02-07 12:48:56
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-20 10:53:42
Available at all facilities: Yes

Heart Failure Iron Deficiency Protocol (JE)
Vital Signs
	Vital Signs
		T;N, Monitor patient for at least 30 minutes after each infusion
Laboratory
		Iron Panel and Hemoglobin & Hematocrit to be done 6 weeks after initial hospitalization/dose of injectafer(NOTE)*
	Iron Panel - MH/WH/JE
		T;N, Stat, spec type = Blood
	Hemoglobin and Hematocrit
		T;N, Routine, spec type = Blood
	Ferritin
		T;N, Stat, spec type = Blood
Medications
		Week 0 dosing based on hgb <13. 5 and Ferritin < 100 ug/l OR hgb <13.5 and ferritin between 100-300 and iron saturation < 20%(NOTE)*
	ferric carboxymaltose
		750 mg, INT, IVPB, Once, T;N, 20 min(s)
		Week 6 dosing based on weight and hemoglobin:(NOTE)*
		Option 1 Weight >/= 70 kg, select Ferric Carboxymaltose order below.(NOTE)*
		750 mg, INT, IVPB, Once, T;N, 20 min(s)
		Option 2 Weight 35-70 kg and Hgb<10g/dL, select Ferric Carboxymaltose order below.(NOTE)*
		750 mg, INT, IVPB, Once, T;N, 20 min(s)
		Option 3 Weight between 35-70 kg and Hgb >/= to 10g/dL, no further treatment indicated.(NOTE)*
		Week 12, 24 or 36 dosing based Ferritin < 100 ug/l OR ferritin between 100-300 and iron saturation < 20% (regardless of Hbg)(NOTE)*
		750 mg, INT, IVPB, Once, T;N, 20 min(s)
	Pharmacy Consult
		T;N
			Comment: Pharmacist please indicate in completed Pharmacy Consult if Ferric Carboxymaltose was administered or not and parameters met or not met

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase