A patient with renal failure is undergoing chronic hemodialysis. The patient's hemoglobin is 10.6 gm/dL. The provider orders sodium–ferric gluconate complex (SFGC [Ferrlecit]). What will the nurse expect to do?
a. Administer the drug intravenously with erythropoietin.
b. Give a test dose before each administration of the drug.
c. Have epinephrine on hand to treat anaphylaxis if needed.
d. Infuse the drug rapidly to achieve maximum effects quickly.
ANS: A
SFGC is given parenterally for iron deficiency anemia in patients undergoing chronic hemodialysis. It is always used in conjunction with erythropoietin to stimulate production of red blood cells (RBCs). A test dose is given only with the initial dose and is not necessary with subsequent doses. Anaphylaxis is not a common side effect. The drug should be infused slowly.
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