Management of Anaemia Flashcards
What is the acute management of anaemia
Anaemia for males and females is defined by Hb <
Differentiate between mild, moderate and severe anaemia
You auscultate the heart of a patient with severe anaemia (Hb <6). What will you note on auscultation
A patient comes in, you perform a physical exam and notice signs of anaemia. go through the exam
A patient comes in, you perform a physical exam and notice signs of anaemia. What are all the investigations you will perform for the anaemia
What is the chronic management of Fe- deficiency anaemia
When giving an RCC transfusion, other than the transfusion reactions that may occur, what may that jeaporadise in the future
You can replace B12 in 2 ways. Which is preferable and why?
IM and Oral
IM preferable and oral B12 is not effective in those with malabsorption which are the majority of the patients
How often is IM B12 given in B12 deficiency?
Frequently initially then once every 1-3 months
What is the chronic management of B12-deficiency anaemia
What is the chronic management of Folate deficiency anaemia
Folic acid 5mg orally
A patient presents with macrocytic anaemia. You send B12 and folate which both come back deficient. You decide you want to replace them together which is the right thing to do. If you had to replace once at a time, which should you replace first and why?
B12 before or at the same time as folate as replacing folate in a B12 deficient patient may increase the risk and severity of subacute degeneration of the spinal cord
If a patient has normocytic anaemia with no Fe, Folate, or B12 deficiency. How will you manage this chronically?
If a patient comes with evidence of haemolytic anaemia. First, what kind of evidence clinically/ABG/blood smear may lead you to think it is haemolytic anaemia?
How will you manage it?
Haemolytic anaemia evidence:
1) Jaundice, dark urine
2) Splenomegaly
3) Lactate
4) Schistocytes/spherocytes
Give the causes of splenomegaly
