venofer dosing calculatordios escoge a los que han de ser salvos
calcium acetate decreases levels of iron sucrose by inhibition of GI absorption. Venofer treatment may be repeated if necessary. Either decreases levels of the other by inhibition of GI absorption. INFeD is given undiluted at a slow gradual rate not to exceed 50 mg (1 mL) per minute. Monitor Closely (1)iron sucrose decreases levels of ibandronate by inhibition of GI absorption. Maximum single dose of iron sucrose to be given at a time in Non-dialysis CKD patients is 500 mg but with limited experience. If hypersensitivity reactions or signs of intolerance occur during administration, stop Venofer immediately. 1974 Jun;31(6):592-5. Ferric carboxymaltose (Ferinject) for iron-deficiency anaemia Use Caution/Monitor. with NDD-CKD or PDD-CKD who are on erythropoietin therapy for iron maintenance treatment, Hemodialysis-dependent chronic kidney disease (HDD-CKD)*, Non-dialysis-dependent chronic kidney disease (NDD-CKD), Peritoneal-dialysis-dependent chronic kidney disease (PDD-CKD), At a dose of 0.5 mg/kg, not to exceed 100 mg per dose, Given undiluted by slow intravenous injection over 5 minutes or diluted in 0.9% NaCl at concentrations of 1 to 2 mg/mL and administered over 5 to 60 minutes, An increase in Hb concentration or a decrease in ESA dose is desired and. These adverse reactions have occurred up to 30 minutes after the administration of Venofer injection. Use Caution/Monitor. Only administer Feraheme as an intravenous infusion over at least 15 minutes and only when personnel and therapies are immediately available for the treatment of anaphylaxis and other hypersensitivity reactions. Use Caution/Monitor. iron sucrose decreases levels of thyroid desiccated by inhibition of GI absorption. Adults and Children over 15 kg (33 lbs): Dose (mL) = 0.0442 (Desired Hb - Observed Hb) x LBW + (0.26 x LBW), Desired Hb = the target Hb in g/dl. The dosage of Venofer is expressed in mg of elemental iron. Copyright 2014 - 2023 The Calculator .CO |All Rights Reserved|Terms and Conditions of Use, Parenteral Iron Replacement For Iron Deficiency Anemia Calculator, Intravenous Iron Therapy in Patients with Iron Deficiency Anemia: Dosing Considerations, Clinical use of the total dose intravenous infusion of iron dextran, When is high-dose intravenous iron repletion needed? UpToDate. Minor/Significance Unknown. Calcs that help predict probability of a disease, Subcategory of 'Diagnosis' designed to be very sensitive, Disease is diagnosed: prognosticate to guide treatment. Studies in monkeys showed concurrent use with calcium, aluminum, or iron caused significantly decreased plasma levels. You will have to pay for your IV iron. Official Journal of the International Society of Nephrology. The following table present normal hemoglobin ranges: There is another equation for iron deficit that can be used to calculate replenishment needs, that of Ganzoni, which takes into account iron stores as well and that can be found in the iron deficit calculator. Aranesp (darbepoetin alfa) | Dosing Considerations Serious hypersensitivity reactions, including anaphylactic-type reactions, some of which have been life-threatening and fatal, have been reported in patients receiving Venofer. To provide clinicians with evidence-based guidance for iron therapy dosing in patients with iron deficiency anemia (IDA), we conducted a study examining the benefits of a higher cumulative dose of intravenous (IV) iron than what is typically administered. There are three fields in the parenteral iron replacement for iron deficiency anemia calculator: Weight can be input in either lbs or kilograms and the required transformations are performed by the calculator. Serious - Use Alternative (1)iron sucrose decreases levels of gemifloxacin by inhibition of GI absorption. Intravenous therapy is preferred for urgent intervention and when oral iron cannot be absorbed or the patient suffers from chronic renal impairment. Venofer (iron sucrose injection, USP) is a brown, sterile, aqueous, complex of polynuclear iron (III)- . View the formulary and any restrictions for each plan. Applies only to oral form of both agents. Venofer treatment may be repeated if iron deficiency reoccurs. Administer Venofer early during the dialysis session (generally within the first hour). Creating an account is free and takes less than 1 minute. Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature. Parenteral iron product is iron sucrose (C = 20 mg elemental iron/mL). Applies only to oral form of both agents. Human studies not conducted. 1000 mg. 20 MINUTES. Individual doses of 2 mL or less may be given on a daily basis until the calculated total amount required has been reached. sodium sulfate/potassium sulfate/magnesium sulfate decreases levels of iron sucrose by inhibition of GI absorption. Adult Dosage and Administration: The recommended dosage of Ferrlecit for the repletion treatment of iron deficiency in hemodialysis patients is 10 mL of Ferrlecit (125 mg of elemental iron). Nutrition. The dosage of Venofer is expressed in mg of elemental iron. FOR PATIENTS WEIGHING 50 kg OR MORE: Administer 1000 mg of Monoferric by intravenous infusion 20 minutes as a single dose 1. Total dose iron infusion: safety and efficacy in predialysis patients. Finally, a 400-mg dose by 2-hour infusion was examined in 35 patients, but 2 patients experienced such symptoms as hypotension, nausea, and lower back pain. Alldredge BK, Corelli RL, Ernst ME, Guglielmo BJ, eds. iron sucrose decreases levels of ofloxacin by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor. Interaction only with oral iron administration. Last updated 28/06/2018 Enter values here and press 'Calculate'. The dosing for iron replacement treatment in pediatric patients with Peritoneal or Hemodialysis-Dependent - CKD or Non-Dialysis Dependent CKD have not been established. Iron Deficiency Calculator - MDApp The iron deficit estimation is based on the Ganzoni formula: Total iron deficit (mg) = Weight in kg x (Target Hb - Actual Hb in g/dL) x 2.4 + Iron stores. Ferritin and transferrin are also recommended monitoring . Monitor Closely (1)pantoprazole will decrease the level or effect of iron sucrose by increasing gastric pH. Serum iron, total iron binding capacity (TIBC) and percent saturation of transferrin are other important tests for detecting and monitoring the iron deficient state. Multiple placebo-controlled, randomized clinical trials have been conducted with IV iron in patients with New York Heart Association class II-III heart failure with an ejection fraction 45% who met criteria . https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2RydWcvdmVub2Zlci1pcm9uLXN1Y3Jvc2UtMzQyMTYy, View explanations for tiers and commonly, these are "non-preferred" brand drugs or specialty HOW TO USE: This medication is given by injection into a vein as directed by your doctor. Minor (2)calcium chloride decreases levels of iron sucrose by inhibition of GI absorption. Most Diluted with 0.9% Sodium Chloride Injection at concentrations of 1 to 2 mg/mL, 2 doses of 300 mg/250 mL over 1.5 hrsplus1 dose of 400 mg/250 mL over 2.5 hrs. Applies only to oral form of both agents. By entering this website, you acknowledge that you are a licensed healthcare professional practicing in the United States. Drug class: Iron products. Use Caution/Monitor. DICP. . Consult your pharmacist or local waste disposal company. Use Caution/Monitor. Objective. Minor (1)gymnema decreases levels of iron sucrose by inhibition of GI absorption. Applies only to oral form of both agents. Discard unused portion. (See also Notes section. Ferumoxytol [ Feraheme ] Elemental iron: 510 mg/17 mL (17 mL) 30 mg/mL [package insert] - Boxed warning REVIEW INSERT. Administer Venofer 100 mg undiluted as a slow intravenous injection over 2 to 5 minutes, or as an infusion of 100 mg diluted in a maximum of 100 mL of 0.9% NaCl over a period of at least 15 minutes, per consecutive hemodialysis session. Applies only to oral form of both agents. Applies only to oral form of both agents. Venofer [package insert]. Copyright 2021 GlobalRPH - Web Development by. Intravenous Iron Therapy in Patients with Iron Deficiency Anemia Parenteral Iron Replacement For Iron Deficiency Anemia Calculator Minor/Significance Unknown. If no signs or symptoms of anaphylactic-type reactions follow the test dose, administer the full therapeutic INFeD dose. Oral and parenteral products - see background option for oral products. 2012;2(4):288-335. (1970) Intravenous iron-dextran: therapeutic and experimental possibilities. iron sucrose decreases levels of gemifloxacin by inhibition of GI absorption. ONE DOSE. Keep all medical and lab appointments. Interaction only with oral iron administration. WARNING: RISK FOR SERIOUS HYPERSENSITIVITY/ANAPHYLAXIS REACTIONS Fatal and serious hypersensitivity reactions including anaphylaxis have occurred in patients receiving Feraheme. Venofer treatment may be repeated if necessary. Hemodialysis-dependent CKD: 100 mg elemental iron IV (injection or infusion over 2-5 min) per dialysis session not to exceed total cumulative dose of 1000 mg divided in 3 doses/week. 2000 Jan;22(1):39-43. A healthcare provider will give you this injection. rabeprazole will decrease the level or effect of iron sucrose by increasing gastric pH. ]Venofer treatment may be repeated if iron deficiency reoccurs. Applies only to oral form of both agents. 2015: 763576. All Rights Reserved. Avoid or Use Alternate Drug. The recommended Feraheme dose may be readministered to patients with persistent or recurrent iron deficiency anemia. commonly, these are "non-preferred" brand drugs. Am J HealthSyst Pharm 2006;63:731735. You are encouraged to report Adverse Drug Events to American Regent, Inc. at 1-800-734-9236 or to the FDA by visiting www.fda.gov/medwatch or calling 1-800-FDA-1088. Do not double the dose to catch up. Use Caution/Monitor. Indications: Ferrlecit is an iron replacement product for treatment of iron deficiency anemia in adult patients and in pediatric patients age 6 years and older with chronic kidney disease receiving hemodialysis who are receiving supplemental epoetin therapy. Applies only to oral form of both agents. Applies only to oral form of both agents. Adverse pregnancy outcomes associated with IDA include increased risk for preterm delivery and low birth weight. Administer Venofer 100 mg undiluted as a slow intravenous injection over 2 to 5 minutes, or as an infusion of 100 mg diluted in a maximum of 100 mL of 0.9% NaCl over a period of at least 15 minutes, per consecutive hemodialysis session [see How Supplied/Storage and Handling (16.2).] Modify Therapy/Monitor Closely. Parenteral iron dextran therapy: a review. No additional iron to replenish stores. Calculation of Dosage of Nefrofer Total Iron Deficit (mg) Nefrofer (ml) = 20mg/ml Total Iron Deficit (mg) = Body weight (kg) x (Target Hb - Actual Hb) [g/l] x 0.24* + Depot Iron . Modify Therapy/Monitor Closely. The above information is provided for general 2 DOSAGE AND ADMINISTRATION 2.1 Recommended Dosage Recommended dosage for patients weighing 50kg (110lb) or more: Give Injectaferin two doses separated by at least 7 days. Minor/Significance Unknown.iron sucrose increases levels of calcium chloride by enhancing GI absorption. This information is not individual medical advice and does not substitute for the advice of your health care professional. Minor/Significance Unknown. Below the form there are further instructions on how to use the calculator. Applies only to oral form of both agents. Tell your caregivers if you feel any burning, pain, or swelling around the IV needle when Venofer is injected. Anemia of chronic disease (ACD), Calculation of the Total Iron Deficit equation appears in Cosmofer PI, Calculation of the Total Iron Deficit Alternative equation, Iron Dextran Dosing Calculator (iron deficit), HONcode standard for trust- worthy health, Pediatric Oncology: Diagnosis And Prognosis Communication, Pharmacosmos A/S, CosmoFer low molecular weight (Mw) iron dextran. Philadelphia, PA: Lippincott Williams & Wilkins;2013;303-307. This parenteral iron replacement for iron deficiency anemia calculator determines the parenteral dose of iron supplement needed to replenish iron stores and hemoglobin levels. A patients lean body weight (or actual body weight if less than lean body weight) should be utilized when determining dosage. Avoid or Use Alternate Drug. Your doctor will do laboratory tests to monitor your response. Fatal reactions have followed the test dose of iron dextran injection. Applies only to oral form of both agents. Monitor Closely (1)esomeprazole will decrease the level or effect of iron sucrose by increasing gastric pH. and formulary information changes. Minor/Significance Unknown. Intravenous iron replacement can take place as total dose (as in the case of iron-dextran or iron carboxymaltose) or as split dose (in the case of iron sucrose). Administer iron products at least 2 hr before and no less than 6 hr after each dose to avoid chelation with magnesium. Dosing for patients who weigh 50 kg or more For patients weighing 50 kg (110 lb) or more: Give Injectafer in two doses separated by at least 7 days. 1988 May;111(5):566-70. Anemia of chronic disease (ACD), Calculation of the Total Iron Deficit equation appears in Cosmofer PI, Iron Dextran Dosing Calculator (iron deficit). Ferric gluconate: 12.5 mg/mL. Applies only to oral form of both agents. Applies only to oral form of both agents. MDCalc loves calculator creators researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. Intermediate calculations: -Blood volume (dL) = [65 (mL/kg) x body weight (kg)] / 100 (mL/dL) -Hgb deficit (g/dL) = 14.0 - patient hemoglobin conc. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Applies only to oral form of both agents. Assure stable intravenous access to avoid extravasation. Avoid or Use Alternate Drug. Sodium ferric gluconate (Ferrlecit) 62.5 mg . Separate dosing of tetracyclines from these products. Monitor Closely (1)sodium sulfate/potassium sulfate/magnesium sulfate decreases levels of iron sucrose by inhibition of GI absorption. It can be expressed in mg per ml. Minor/Significance Unknown. 4. Have resuscitation equipment and personnel trained in the detection and treatment of anaphylactic-type reactions readily available during INFeD administration. Applies only to oral form of both agents. Either increases effects of the other by pharmacodynamic synergism. In the text below the tool there is more information on how the iron deficit is calculated. iron sucrose increases levels of calcium citrate by enhancing GI absorption. Venofer Dosing and Administration Use Caution/Monitor. calcium carbonate will decrease the level or effect of iron sucrose by increasing gastric pH. This cost includes the fee charged by the pharmacy. PDF Treatment Guideline - Gloucestershire Royal Hospital Anemias. Administer iron products at least 2 hr before and no less than 6 hr after each dose to avoid chelation with magnesium. USES: This medicine is used to treat "iron-poor" blood (anemia) in people with long-term kidney disease. Ganzoni Equation for Iron Deficiency Anemia - MDCalc DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. Separate by 2 hr. Multivalent cation-containing products may impair absorption of tetracyclines, which may decrease its efficacy. The total amount of INFeD in mL required to treat the anemia and replenish iron stores may be approximated as follows: Adults and Children over 15 kg (33 lbs): See Dosage Table. It is unlikely . Each mL contains 20 mg of elemental iron. This website is intended for use by US healthcare professionals only. Use Caution/Monitor. Steps on how to print your input & results: 1. calcium chloride decreases levels of iron sucrose by inhibition of GI absorption. Fatal reactions have also occurred in situations where the test dose was tolerated. Use Caution/Monitor. Iron sucrose | Drugs | BNF | NICE Deferiprone may bind polyvalent cations (eg, iron, aluminum, and zinc), separate administration by at least 4 hr between deferiprone and other medications (eg, antacids), or supplements containing these polyvalent cations. Estimates the iron deficit in preparation for iron replacement based on patient weight and haemoglobin. Drug: Comments: A: Acyclovir 1: Dose using a 40% adjusted body weight; Amikacin 2: Dose using a 40% adjusted body weight; Amphotericin B (liposomal) 3 Consider capping body weight to 100 kg; Atracurium 4: Dose using ideal body weight; The use of ideal body weight has been shown to be associated with a more predictable muscle strength recovery within 60 minutes and a lack of need for antagonism . Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Applies only to oral form of both agents. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. 2010;18(3). Applies only to oral form of both agents. Use Caution/Monitor. IV iron products (adults) - UpToDate Monitor Closely (1)deferasirox decreases levels of iron sucrose by inhibition of GI absorption. Intravenous (IV) iron products (use in adults) Dosing information in this table is for adults and includes some dosing recommendations not listed in the approved product information. You may need extra iron because of blood loss during kidney dialysis. Iron Injection Administration | INJECTAFER HCP Venofer (Iron Sucrose Injection) may treat, side effects, dosage, drug interactions, warnings, patient labeling, reviews, and related medications including drug comparison and health resources. Use Caution/Monitor. This information does not assure that this product is safe, effective, or appropriate for you. For iron maintenance treatment: Administer Venofer at a dose of 0.5 mg/kg, not to exceed 100 mg per dose, every four weeks for 12 weeks given undiluted by slow intravenous injection over 5 minutes or diluted in 0.9% NaCl at a concentration of 1 to 2 mg/mL and administered over 5 to 60 minutes. Adult Patients with Non-Dialysis Dependent-Chronic Kidney Disease (NDD-CKD): 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 x 15 minutes. vonoprazan will decrease the level or effect of iron sucrose by inhibition of GI absorption. Equations : Total body iron deficit (mg) = body weight (kg) x (target Hb - actual Hb in g/dL) x 2.4 + iron depot (mg)** [1, 2] Iron depot: 15 mg/kg for body weight less than 35 kg 500 mg for those with a body weight greater than or equal to 35 kg Ideal Body Weight (kg) =45.5 +2.3 * (height inches - 60 inches) [3] Symptoms associated with Venofer total dosage or infusing too rapidly included hypotension, dyspnea, headache, vomiting, nausea, dizziness, joint aches, paresthesia, abdominal and muscle pain, edema and cardiovascular collapse. Intravenous iron-dextran: therapeutic and experimental possibilities [in German] Schweiz Med Wochenschr. Allow at least 30 minutes between administration of Feraheme and administration of other medications that could potentially cause serious hypersensitivity reactions and/or hypotension, such as chemotherapeutic agents or monoclonal antibodies. Accessed: 4/12/2011. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Applies only to oral form of both agents. The dosage is expressed in terms of mg of elemental iron, with each mL of Feraheme containing 30 mg of elemental iron. Am J Hosp Pharm. Ferrlecit has been administered at sequential dialysis sessions by infusion or by slow intravenous injection during the dialysis session itself. Iron Deficit - Multi-Calc - GlobalRPH - Medical Calculators, Clinicians 3. 2010niferex-hytinic-polysaccharide-iron-342160Drugs, You are being redirected to Equations used: 1] Calculation of the Total Iron Deficit: Total iron deficit [mg] = body weight [kg] x (target Hb-actual Hb) [g/dl] x 2.4 + depot iron [mg]. Anaphylaxis may occur with IV iron and resuscitation facilities should be available.11 It would appear that iron polymaltose may have a higher incidence of severe systemic reactions than iron sucrose and ferric carboxymaltose. Most Monitor Closely (1)trientine, iron sucrose. Monitor Closely (1)iron sucrose will decrease the level or effect of omadacycline by inhibition of GI absorption. Pediatric Patients (2 Years of Age and Older). Modify Therapy/Monitor Closely. Applies only to oral form of both agents. This drug is available at the lowest co-pay. Iron supplements, regardless of their way of administration, are used to replete body stores and to correct anemia. Separate dosing of tetracyclines from these products. Separate by at least 4 hours. Administer on 5 different occasions over a 14 day period. Our dosage calculator can help you with this as well. Applies only to oral form of both agents. Each mL contains 20 mg of elemental iron. Applies only to oral form of both agents. Prescribing and dispensing information For iron sucrose A complex of ferric hydroxide with sucrose containing 2% (20 mg/mL) of iron. Modify Therapy/Monitor Closely. iron sucrose will decrease the level or effect of sarecycline by inhibition of GI absorption. Minor/Significance Unknown. Initial infusion rate. lansoprazole will decrease the level or effect of iron sucrose by increasing gastric pH. Administer Venofer only intravenously by slow injection or by infusion. A target haemoglobin value is also input so iron deficit can be determined according to a specified individual target. concentration of elemental iron (mg/ml) in the product being used: This calculator will help pinpoint potential causes of anemia based on an automated flowchart approach. Serious - Use Alternative (1)iron sucrose decreases levels of oxytetracycline by inhibition of GI absorption. Written by ASHP. Monitor Closely (1)dexlansoprazole will decrease the level or effect of iron sucrose by increasing gastric pH. The dosage of Venofer is expressed in mg of elemental iron. Iron deficiency anemia calculator (diagnosis), Iron deficiency anemia vs. 2010;18(3). Parenteral Iron Replacement For Anemia Calculator - MDApp Applies only to oral form of both agents. Venofer (iron sucrose) Uses, Dosage, Side Effects - Drugs.com Applies only to oral form of both agents. Use Caution/Monitor. Maintain a well-balanced diet, and follow any dietary guidelines as directed by your doctor. Iron sucrose: 20 mg/mL. Severe adverse reactions including circulatory failure (severe hypotension, shock including in the context of anaphylactic reaction) may occur in pregnant women with parenteral iron products (such as Venofer) which may cause fetal bradycardia, especially during the second and third trimester. 1996 Aug;11(4):139-46. Dosing: (a) Divide calculated total cumulate dose . Minor/Significance Unknown.iron sucrose increases levels of calcium acetate by enhancing GI absorption. Monitor for signs and symptoms of hypotension following each Feraheme infusion. You may report side effects to Health Canada at 1-866-234-2345. Here are the steps to follow for using this drug dosage calculator: First, enter the value of your Weight and choose the unit of measurement from the drop-down menu. Schrier SL, Mentzer WC, Landaw SA. iron sucrose will decrease the level or effect of baloxavir marboxil by cation binding in GI tract. Avoid or Use Alternate Drug. Deferasirox chelates iron. deferasirox decreases levels of iron sucrose by inhibition of GI absorption. Always ask your health care professional for complete information about this product and your specific health needs. Use Caution/Monitor. Separate by 2 hr. Talk to your pharmacist for more details.During pregnancy, this medication should be used only when clearly needed. Ganzoni AM. PDF Iron dosing and administration in adults backgrounder Calculation of total iron deficit for initial repletion: [29] Total cumulative dose (mg) = [Target Hb Actual Hb] weight (kg) 2.4 + [15 weight (kg)] *Hb in g/dl: 2. Dosage Calculator The recommendation is that most adults need a cumulative dose of elemental iron of at least 1 g. Iron replenishment can be done intravenously, either as total dose (example: iron-dextran or iron carboxymaltose) or as split dose (example: iron sucrose). Excessive therapy with parenteral iron can lead to excess storage of iron with the possibility of iatrogenic hemosiderosis. Ferrlecit may be diluted in 100 mL of 0.9% sodium chloride administered by intravenous infusion over 1 hour per dialysis session. Give each dose as 750 mg for a total cumulative dose not to exceed 1500 mg of iron per course. Data from Ferrlecit postmarketing spontaneous reports indicate that individual doses exceeding 125 mg may be associated with a higher incidence and/or severity of adverse events. Separate dosing of tetracyclines from these products. Either decreases levels of the other by inhibition of GI absorption. Applies only to oral form of both agents. 1) Ganzoni AM. Dosing Administration & Considerations . [. This drug is available at a higher level co-pay. Monitor Closely (1)sodium sulfate/?magnesium sulfate/potassium chloride decreases levels of iron sucrose by inhibition of GI absorption. Test Dose: Not required. iron sucrose decreases levels of deferiprone by enhancing GI absorption. Copyright(c) 2023 First Databank, Inc. commonly, these are "preferred" (on formulary) brand drugs. vitamin E decreases levels of iron sucrose by increasing hepatic clearance. Copyright 1993-2021 Use alternatives if available. omeprazole will decrease the level or effect of iron sucrose by increasing gastric pH. Learn how to store and discard medical supplies safely. Use Caution/Monitor. Serious - Use Alternative (1)iron sucrose decreases levels of demeclocycline by inhibition of GI absorption.
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venofer dosing calculator
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