Iron Toxicity Calculator
Calculate iron toxicity from multiple formulations (oral, syrup, IV) with comprehensive toxicity assessment.
Patient Information
Iron Formulations
Summary
Total Elemental Iron
0 mg
Patient Dose
0 mg/kg
Toxicity Assessment
Management Guidance
Supportive Care
- Monitor vital signs continuously
- Establish IV access and maintain hydration
- Monitor electrolytes, glucose, ABG, LFTs
- GI decontamination if recent ingestion (consider whole bowel irrigation for sustained-release formulations)
Deferoxamine Chelation Therapy
Indications:
- Severe toxicity (>60 mg/kg elemental iron)
- Metabolic acidosis
- Shock or altered mental status
- Very high serum iron levels (>500 mcg/dL)
- Significant GI symptoms with systemic signs
Dosing:
- Initial: 15 mg/kg/hour IV infusion (max 6-8 g/day)
- Duration: Continue until clinical improvement and serum iron normalizes
- Monitoring: Watch for hypotension, ARDS, and vin rosé urine (indicates ferrioxamine excretion)
Disposition
- <20 mg/kg: Observation for 4-6 hours; discharge if asymptomatic
- 20-60 mg/kg: Admit for observation and monitoring
- >60 mg/kg: ICU admission for aggressive supportive care and chelation therapy
