Busy day with the #BSHTIP delegates today. Lots of small group sessions and interactive Kahoot! voting on more transfusion topics! kahoot.com #blooducation
Anaemia of chronic disease signified by low serum fe, low transferrin saturation and normal or low TIBC. Functional iron deficiency is an important cause of ACD.
Thorough guideline here on FID for the #haemSpRs
b-s-h.org.uk/guidelines/gui…
#blooducation
B12 levels can be affected by many things including drugs. With borderline levels think metformin, OCP, pregnancy and repeat level. Intrinsic factor antibodies can help decide on further management #BSHTIP
More info here b-s-h.org.uk/guidelines/gui…
Investigation of anaemia:
haematinics
full iron studies
reticulocyte count
blood film (with sufficient clinical information)
haemolysis screen
myeloma screen
THEN phone haematology!
#BSHTIP
Sickle cell patients tolerate low hbs v well, and hb >100 can cause hyperviscosity and stroke. Do not transfuse unless haematology say its ok! Risk of alloimmunisation is high #BSHTIP
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