usmle68
Topics: 11
Posts: 28
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transfusion guidelines
young adults hematocrit <30% should be transfused? according to kaplan surgery q-book. p520 q17.
at the same time, it is also said that the 30% rule has been questioned lately. however, it is still generally accepted as guideline.
that is to say, in the exam, we still transfuse those whose's hematocrit <30%.
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| threewalkers
Forum Guru
Topics: 240
Posts: 820
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I don't know.
anyone know about this? thanks.
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| Overactivebrain
Forum Newbie
Topics: 0
Posts: 36
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Transfuse when symptoms indicate.
In general, the US guidelines are a Hgb < 7 (Hct <21), or any anemia when the patient is symptomatic (Dyspnea, Syncope, PreSyncope, Chest Pain, etc).
The thing is that a 25 year old male athlete can tolerate a hgb of 9. A 75 year old sedentary obese diabetic with coronary artery disease can probably only tolerate a hgb of 11. There is NO NUMBER that indicates transfusion, it is symptomatology.
Think of it like ACLS. You shock when unstable, give meds when stable. For Anemia, transfuse when unstable, give meds (iron, folate) when stable. Unstable = Dyspnea, Altered Mental, Chest Pain, Systlic BP <90
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