Canning Martin, Grannell Louise
Aust Prescr. 2020 Oct;43(5):160-163. doi: 10.18773/austprescr.2020.051. Epub 2020 Oct 1.
Iron staining is an unwanted and in some cases permanent adverse effect of intravenous iron administration. Cosmetically unacceptable staining may cause distress and have psychological implications for the patient There should be a suitable indication for parenteral iron therapy. Patients must be advised of the risk of harm and give their informed consent before receiving parenteral iron Strategies to minimise the risks of staining with intravenous iron include appropriate cannulation and close monitoring of the infusion. Stop the infusion if there are signs of extravasation Laser therapy may be a treatment option in cases of persistent discolouration due to iron staining
铁染色是静脉注射铁剂时出现的不良且在某些情况下为永久性的不良反应。外观上不可接受的染色可能会给患者带来困扰并产生心理影响。肠外铁剂治疗应有合适的指征。在接受肠外铁剂治疗前,必须告知患者伤害风险并取得其知情同意。将静脉注射铁剂染色风险降至最低的策略包括正确插管和密切监测输注过程。如果出现外渗迹象,应停止输注。对于因铁染色导致的持续性色素沉着,激光治疗可能是一种治疗选择。