Anemia

Question 1

What are the signs that anemia may be immediately life threatening?

Answer 1

sweating, thirst, cold extremities , respiratory distress, shock

Question 2

Treatment of iron deficiency anemia

Answer 2

elemental iron PO- 3m
<2 yrs- 30 mg per day
2-12 years- 60 mg per day
Adults :120-180 mg/ day in 2-3 divided doses

Question 3

Dose of albendazole in children> 6m but < 10 kg

Answer 3

200 mg

Question 4

Can you give albendazole in first trimester of pregnancy ?

Answer 4

No

Question 5

Treatment of folate deficiency

Answer 5

folic acid PO- 4 months
<1 yr- 0.5mg/kg once daily
> 1 yr and adults- 5 mg once daily

Question 6

How will you determine the volume of whole blood to be transfused ( in adults)?

Answer 6

(Hb required- Patient’s Hb) x 6 x body wt of pt

given over 3-4 hours

Question 7

How many drops of whole blood make 1ml

Answer 7

15

Question 8

How will you determine volume of blood to be transfused in children?

Answer 8

Children< 1 yr- 15ml/kg
Children > 1 yr- 20 ml/kg
malnourished children- 10ml/kg
Given over 3-4 hrs

Question 9

During a blood transfusion the patient shows signs of hypervolaemia. How do you treat?

Answer 9

Inj Furosemide slow, direct iv

1mg/kg not exceeding 20mg