Iron Dose Formula:
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Definition: This calculator estimates the iron dose required to correct iron deficiency anemia using the Ganzoni formula.
Purpose: It helps healthcare professionals determine the appropriate dose of intravenous iron needed to reach a target hemoglobin level.
The calculator uses the Ganzoni formula:
Where:
Explanation: The formula calculates the iron deficit based on the hemoglobin difference and adds iron needed to replenish stores.
Details: Proper iron dosing ensures effective anemia correction while avoiding iron overload and potential toxicity.
Tips: Enter the desired and observed hemoglobin levels (g/dL) and the patient's lean body weight (kg). All values must be > 0.
Q1: What is Lean Body Weight (LBW)?
A: LBW is body weight minus fat mass. For males: LBW = (0.407 × weight in kg) + (0.267 × height in cm) - 19.2. For females: LBW = (0.252 × weight in kg) + (0.473 × height in cm) - 48.3.
Q2: What's a typical target hemoglobin?
A: Generally 12-13 g/dL for women and 13-14 g/dL for men, but targets should be individualized.
Q3: Why is there a 0.26 × LBW component?
A: This accounts for iron needed to replenish body stores (500-1000 mg typically).
Q4: How should the dose be administered?
A: Intravenous iron is typically given in divided doses, not as a single infusion.
Q5: What are the limitations of this calculation?
A: It doesn't account for ongoing losses (e.g., bleeding) or inflammatory conditions affecting iron utilization.