General Hospital Medicine   

Are there situations in which you still feel comfortable giving IV iron? If not, do you consider PO iron?

Especially if Watchman is an option, which would still require temporary anticoagulation post-procedure.

For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...

If so, do you recommend any specific workup, monitoring, or intervention?

Mahé et al., PMID 40162636

How do you reconcile the potential risks and benefits of IV fluids in this patient population? Do you have a preferred type of fluid, as was suggested...

Given the unprovoked nature, do you favor indefinite anticoagulation? Would a presentation with bilateral distal DVTs or other concerns for thrombophi...

If they have been on IV heparin for 3 days, for example, would you subtract those days from the recommended loading dose time?

Do you prefer anticoagulation? Is there a role for aspirin? How strongly do you recommend line removal?

How do factors like the presence of varices, severity of coagulopathy, etc., play into your decision?

Particularly with prolonged hospitalizations, do you have any concerns about exposing patients to bleeding risks associated with "triple therapy" even...

How do you decide between simple transfusion and red cell exchange?While the 2020 ASH Guidelines provide some conditional guidance on transfusion supp...

Are there situations in which you would continue the possible offending agent with close monitoring?

Would you be comfortable with the use of DOACs?

Do you use prophylaxis universally or based on risk scores?

Primary care providers often check iron studies during workup for fatigue, even if anemia is not present. 

Such as a patient who cannot tolerate oral iron and has had a anaphylaxis to intravenous iron