Q: Hematology service ordered IV Iron for an anemic patient who is Jehovah witness by faith. Nurse asked you about test dose?

Answer:

As studies indicates that allergic reactions may still occur in patients who have not reacted to a test dose, a test dose is no longer recommended.

Every caution should be exercised with every dose of intravenous iron that is given, even if previous administrations have been shown no signs of reaction.


Reference:

Press release from The European Medicines Agency’s Committee for Medicinal Products for Human Use (CHMP) on 28/06/2013 - New recommendations to manage risk of allergic reactions with intravenous iron-containing medicines.