儿科的静脉铁疗法:谁应该得到它,什么时候是正确的时间?
Clay T Cohen1, Jacquelyn M Powers1
1Division of Hematology/Oncology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Cancer and Hematology Center, Houston, TX.
Hematology. American Society of Hematology. Education Program
|December 9, 2023
概括
静脉注射铁疗法是一种安全有效的治疗儿童缺铁性贫血不响应口服铁. 这种方法快速补充铁储量并减少贫血,为患有慢性疾病的儿童提供了显著的好处.
科学领域:
- 儿科 儿科 儿科
- 血液学 血液学 血液学
- 胃肠病学 胃肠病学
背景情况:
- 缺铁性贫血在儿童中很常见,特别是那些有胃肠道问题或慢性疾病的儿童.
- 口服铁疗法是标准的治疗方法,但许多儿童表现出不完全的反应.
- 静脉注射铁为儿科患者的铁缺乏症管理提供了一个替代方案.
研究的目的:
- 审查儿童静脉注射铁治疗的指示和最佳时间.
- 在特定的儿科群体中讨论静脉注射铁对口服铁的益处.
- 要突出在儿科护理中静脉注射铁制剂的使用日益增加.
主要方法:
- 对儿科患者静脉注射铁疗法的当前文献的综述.
- 对已批准的指示和注射铁配方的非标签使用进行分析.
- 讨论需要静脉注射铁的临床情景.
主要成果:
- 静脉注射铁疗法提供快速的铁补充和贫血解决.
- 它比口服铁具有优势,包括更少的胃肠道副作用.
- 批准和非标签的静脉注射铁制品越来越多地用于儿童.
结论:
- 静脉注射铁疗法是儿科缺铁性贫血的一个有价值的选择,特别是在口服铁缺乏或慢性疾病的情况下.
- 适当的患者选择和时机对于成功的结果至关重要.
- 在儿科中静脉注射铁的使用正在扩大,需要明确的指导方针.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
168
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
168
Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K
Routes of Drug Administration: Parenteral
2.0K
The administration of drugs via parenteral routes allows for direct drug introduction into the systemic circulation, resulting in high bioavailability because the medication bypasses the harsh conditions of the gastrointestinal tract and hepatic metabolism.
The intravenous route (IV) of drug administration can be further categorized into two types. The bolus injection administers the entire dose rapidly, while an intravenous infusion slowly delivers smaller doses steadily.
The IV route is often...
The intravenous route (IV) of drug administration can be further categorized into two types. The bolus injection administers the entire dose rapidly, while an intravenous infusion slowly delivers smaller doses steadily.
The IV route is often...
2.0K
Drug Delivery: Parenteral Route
552
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
552
Bone Marrow Sampling and Transplants
333
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
333
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
157
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
157


