Treatment Protocol for Iron Infusion Reactions Mild reactions • Symptoms: back/joint pain, flushing, hypertension, itching,sensation of heat, slight chest tightness, urticaria • Management: Stop infusion for 15 min—if patient improvedresume infusion at 50% lower rate—if symptoms reoccur haltinfusion. If symptoms worsen treat at moderate reaction Moderate reactions • Symptoms: Mild reactions symptoms plus cough, dyspnea,hypotension, noticeable chest tightness, tachycardia • Treatment: Stop iron infusion, fluid bolus, IV steroids, halt infusion,If symptoms worsens treat at severe reaction Severe/life threatening reaction • Symptoms: Cardia arrest, cyanosis, loss of consciousness,periorbital edema, wheezing/stridor • Treatment: ACLS (if necessary), epinephrine, IV steroids,transfer to higher level of care #Iron #Infusion #Reactions #Treatment #Protocol #management #allergy
