User:Spud2013/sandbox

Hi, this is my sandbox. I will using it to write my article for a university subject.

= Intravenous iron infusion = The introductions describing the basic outline of the article

History
development of the procedure throughout history

Medical Use
procedure is used to treat anaemia and iron deficiency and why it is used over other forms of iron supplementation

Administration
different forms of iron used and information on the duration of the treatment and how often it is administered

Intravenous is the term used when a fluid is administered through a vein into the bloodstream. In an intravenous iron infusion patients are attached to a drip which delivers a combination of iron and saline through a needle. The solution is dripped slowly and mixes with the patient’s blood. Intravenous iron infusions are used when oral supplements fail to adequately sustain suitable levels of iron the blood.

Currently three different types of iron infusions are being used by medical professional, specific to the individual patient which requires the treatment. Iron polymaltose is a single dose treatment given as a 2000mg dose, iron carboxymaltose is administered over multiple treatments given as a 1000mg dose per week and iron sucrose is administered over multiple treatments given in small doses at 500mg per week. Each treatment differs in the duration of their administration. Iron polymaltose treatments can take anywhere between seventy-five and ninety minutes, iron carboxymaltose treatments take less than fifteen minutes and iron sucrose treatments can take up to three hours.

Patients are monitored for a further thirty minutes after treatment takes place to monitor and observe any immediate adverse reactions to the infusion. Following the procedure, blood tests are taken two to four weeks after in which to asses if iron levels have been successfully restored.

Adverse Effects
Side effects of the infusion such as asthma attacks and allergic reactions

Sources I Want to Include on this Page
Bonnar, J. (1966). ‘Treatment of Iron Deficiency,’ The Lancet, vol. 287, pp. 320

In this journal article John Bonnar comments on the adverse effects of Intravenous Iron Infusions suggesting that premedication and antihistamines have proven to reduced and even eradicate such results. The source provides a detailed analysis of the side effects caused by the injection such as asthmatic attacks and hypersensitivity reactions like chest pain, nausea and vomiting, whilst also stating that patients generally recovered quickly and well. The text further focuses on the ways in which to reduce these symptoms by urging nurses and doctors to perform a test dose on all patients before the procedure, especially for those with a history of allergic reactions. Overall I found this source to be a reliable academic, it provides an unbiased viewpoint showcasing both the positive and negative outcomes of the Intravenous Iron Infusion and providing details on how to avoid any problems that may occur. This source will be mainly used in the Adverse Effects section of the Wikipedia article.

Dillon, M., Michael, S. (2018). ‘Preoperative intravenous iron as a key component of ERAS: Implementation at a large academic medical center,’ Clinical Nutrition ESPEN, vol. 25, pp.180

This academic article provides a scholarly and reliable account for benefits of the Intravenous Iron Infusion, using statistical evidence to demonstrate that largely the therapy has been highly successful in its patients. Under the title objectives, the authors provide a general statement emphasising the need for new technology such as the IV Infusion, stressing that iron deficiency is one of the most common nutritional deficiencies globally. The source acknowledges that there is some risk associated with this form of medication, however emphasises that it is minimal.

The Royal Women’s Hospital, ‘Iron Infusions,’ (2018), Retrieved from https://thewomens.r.worldssl.net/images/uploads/fact-sheets/Iron-Infusion-0718.pdf

This fact sheet on Iron Infusions by The Royal Women’s Hospital provides information on the preparation and post care of the therapy, explains why patients might need an iron infusion, provides information on the duration of the treatment and how often it is given, and explains the side effects to readers. The source is particularly helpful in gaining a greater understanding of the Intravenous Iron Infusion in its entirety offering a sort of step by step guide of how the therapy works, which other sources do not provide. This source will be used primarily in the Administration section of the Wikipedia article.

Auerbach, M., Ballard, H. (2010). ‘Clinical Use of Intravenous Iron: Administration, Efficacy, and Safety,’ ASH Education Book, vol. 2010, pp. 338-347

This journal article will be of particular use in the History section of the Wikipedia page. The source goes into comprehensive detail of the development of IV iron throughout history dating back to the early twentieth century. The authors focus on the failure and success of different forms of iron used in administering IV Infusions throughout history, and notes all products which are currently used, also showcasing advances in technology which allow full dose treatments to occur in less than fifteen minutes. Similar to other sources, the authors connote to the negative side effects of Intravenous Iron Infusions providing specific cases where something has gone wrong, but once again noting that risk is minimal.

Camaschella, C. (2015). ‘Iron deficiency: new insights into diagnosis and treatment,’ ASH Education Book, vol. 2015, pp. 8-13

Clara Camaschella’s report on iron deficiency explains what iron deficiency is, and goes into great depth about diagnosis. She further goes into detail about the therapeutic options used to booster iron levels in the blood. Camaschella compares oral supplements with intravenous iron connoting to the controversies surrounding IV Infusions and using statistic evidence to showcase the advantages and disadvantages of the different treatments, especially for those patients who are already suffering other fatal diseases. This article will be primarily used in the Medical Use section of the Wikipedia page.