Question of the Week

Question :
Posted On : 10 Apr 2017
WHAT IS THE MAX AMOUNT OF BLOOD COULD BE TRANSFUSE IN SEVERLY ANEMIC CHILD{THALLESEMIC} IN A DAY and TOTAL IN 2-3 DAYS .WHAT IS THE PACKED CELL AMOUNT COULD BE TRANSFUSED IN THALLESEMIC CHILD IN A DAY and TOTAL MAX AMOUNT AT ONE TIME OF ADMISSION
5
Expert Answer :
IF the child is severely anaemia than you need to be cautious.
Depending on pts Hb level you could beging with that much cc, kg` e.g if child`s Hb is 3 gm, dl` then begin with 3 cc , kg.
3 cc, kf of Packed cells will raise Hb by 1 gm so it is easy to calculate depending on childs Hb and expected rise you want in the child`
if a 10 kg child with 3 gm, dl Hb needs to be brought up to 14 gm, dl then you need to give the child {14-3} x 3 x body wt 10 of packed cells to raise Hb to 13 gm, dl. so you give 1st 3 cc, kg over 2 hrs` then next aliquot of blood you may give 4 cc, kg over 2 hrs after 12 hrs and then 4 cc, kg as the third aliquot.
Donot exceed a Hb of more than 15.5 gm, dl in a thalassaemiac child.
Answer Discussion :
N
naglaa mousa
20 ml, kg
4 years ago
K
Kaushik Kishore
10-15ml, kg of prbc in single day
4 years ago
O
owm kalthoum Hiba
10_15ml-kg
4 years ago
N
Nelson Faria Montiel
20 mililitros por kilo de peso
4 years ago
S
soha hashem
15ml, kgand top up 5ml, kg more
so total in 24 h is 20ml, kg

4 years ago




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