Venofer infusion complications

our pharm says you can infuse over 30 mins as well but being an old stone age nurse and having seen the complications from a rapid iron infusion... I know better.... We most always do our outpts by peripheral and have used canula's as small as a 24G and I run it no less than 1 hr. Some of the nurses in our unit fuss at me for being so cautious but I know none of them will be sitting on a court room bench with me if ever sued!!!

I would ask the pharm. if they would mix it in 100 ml of N/S instead of 50 ml. That is the way we infuse it at the HH Agency I work for.

The venofer should not have been given via the midline. Anything with a ph of less than 5 (some references say 6) or greater than 9 should not be infused through a midline. The tip of the midline should have been in the upper arm just before the axillary vein in this location severe damage can occur with extravastions. The ph of venofer is 10.5-11 so way to alkalotic to be infused through a midline. A peripheral line is acceptable as well as any central line . 20mg a min is the recommended rate of infusion and monitor closely for hypersensitivity reactions

we use peripheral lines all the time, mixed in 100cc's by pharm, and give it over one hour

We had a few outpatient soon-to be-dialysis-pts. who received monthly IV iron...... and we always ran it well over an hour. Always. Never less than 1 hour.