#infed

CHERRY 🍒 & MOONY 🌙

“what if i go up there and you stay down here and we turn all our lights off? and see if we hear anything.”

Municipio de El Marqués, primer lugar nacional en el manejo de sus finanzas públicas

El municipio de El Marqués es reconocido a nivel nacional por el buen manejo en sus finanzas públicas y uso correcto de sus recursos. De acuerdo al Sistema de Información Hacendaria Municipal del Instituto Nacional para el Federalismo y Desarrollo Municipal (INFED), quien es el encargado de brindar el estado de las finanzas públicas municipales, El Marqués es reconocido a nivel nacional en dos…

Common Brand Names: Infed (iron dextran), Venofer (iron sucrose)

Therapeutic Class: Essential mineral and blood modifier

Common Injectable Dosage Forms:

Iron Dextran, Solution for Injection: 50 mg/mL (2 mL)

Iron Sucrose, Solution for Injection: 20 mg/mL (5 mL)

Dosage Ranges:

Iron Dextran:

Children <15 kg: 0.0442 (desired hemoglobin – observed hemoglobin) x W ÷ (0.26 x W) Note: W=weight in kg, desired hemoglobin usually 12 g/dL.

Adults and children >15 kg: 0.0442 (desired hemoglobin - observed hemoglobin) x LBW ÷ (0.26 x LBW). Note: LBW=lean body weight in kg, desired hemoglobin usually 14.8 g/dL. A test dose of 0.5 mL should be given first day of therapy.

Iron Sucrose: 100-300 mg administered 1-3 times per week to a cumulative total maximum dose of 1000 mg; may administer lower doses to maintain target hemoglobin, hematocrit, and iron storage parameters.

Administration and Stability: Iron Dextran: IM injection use Z-track technique; IV test dose given over 5 minutes; subsequent doses given at a rate not to exceed 50 mg/minute or diluted in 250-1000 mL NS and infused over 1-6 hours. Iron Sucrose: Slow IV injection of 1 mL/minute (100 mg over 2-5 minutes); or infusion of 1 vial (100 mg/5 mL) in 100 mL NS over at least 90 minutes.

Pharmacology/Pharmacokinetics: Iron Dextran: The released iron, from plasma iron dextran, replenishes the depleted iron stores in bone marrow where it is incorporated into hemoglobin. Uptake of iron by the reticuloendothelial system is constant at about 10-20 mg/hour. Iron Sucrose: The reticuloendothelial system dissociates iron sucrose into iron and sucrose. The released iron increases serum iron concentrations and is incorporated into hemoglobin. Half-life elimination is approximately 6 hours.

Drug and Lab Interactions: Iron dextran may have decreased effect when administered with chloramphenicol. Iron sucrose may reduce absorption of oral iron preparations.

Contraindications/Precautions: Hypersensitivity to any component of the formulations and in anemia not associated with iron deficiency. Rare anaphylactic reactions have occurred during use, as well as hypotension. Use caution in patients with history of asthma, hepatic impairment, and rheumatoid arthritis when administering iron dextran. Iron dextran has a Pregnancy Category rating of C, iron sucrose is rated Pregnancy Category B.

Monitoring Parameters: Ferritin, hemoglobin, hematocrit, serum iron, transferrin

Adverse Effects: Both products have been associated with flushing, dizziness, metallic taste, and hypotension. Diaphoresis, urticaria, arthralgia, fever, chills, dizziness, headache, and nausea may be delayed 24-48 hours after IV administration or 3-4 days after IM administration.

    ❝  i’ve just never been very good at the         adult thing, i guess.   /   @infed

her arms are covered in light scratches, flesh peeking through from underneath all the skin functioning as an improvised symbol for her transparence. it works. the tree branches are mostly cut down on the trail to the lake, but they always seem to grow back as fast as they get torn off the old boles, and they always return sharper than they had once been, full of vengeance.

byul puts her hands on edmund’s back and pushes him forth and out of the thick of the forest, towards the naked land bordering the lake. she laughs at his hesitation now like she had before, though she is only ever amused, never judgemental. worse than a burden, reluctance is an addiction to edmund. she can certainly see the appeal in it, staying up late into the nights herself, mulling over what could be for as long as it pushes off what has been, what is.

that’s why she needs an antidote, needs to fill the hole of thoughts with actions.

that’s why she points her flashlight at ed’s face after circling around him, running backwards in the direction of the water. that’s why it’s midnight but she’s up and out in early autumn, the last dregs of summer remaining making the chilly air still pleasant on the skin.

that’s why, instead of talking about how they had been drifting apart after once being attached at the hip, she dips her toes into the water, feet curling around the stones and pebbles for grounding, and kicks up water at him with a devious little smile when he gets close enough.

“we didn’t make this far not to have a swim,” she warns as soon as she notices him keep a distance. “you’re getting in the water.”

it’s not a terribly grown up way to go about issues, but she doesn’t have to be a grown up just yet. her heart sinks with foreboding colder than the night air on her wet ankles, every second ringing inside her head, but she is terribly good at negating her own intuition. she needs to think less. she needs to cling.

shrugging her jacket off, she pauses, gaze turning upwards, at the stars.