Provision Of Blood Transfusions In Anemic Patients?
already in infusion, but the patient’s condition is weakened. do you need a blood transfusion ??
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Hb or hemoglobin is a protein that contains iron in red blood cells which is responsible for binding oxygen or carrying oxygen for oxidation or interpretation in the body's cells and subsequently takes carbon dioxide to be removed from the body. Hemoglobin is depicted with blood red substance, so that if the hemoglobin content is normal, oxygen levels in the body will support cell metabolism, so the skin will look fresh, and palms appear reddish, but if the hemoglobin level decreases, the body will look pale. Normal levels of hemoglobin can range from 12-15 grams / dl for women, while for men it can range from 13-17 grams / dl. Decreased hemoglobin levels below normal are anemic conditions that can affect the working system of the body. In patients with anemia, comorbid complaints can be seen in the form of pale, nausea, headache, drowsiness, decreased appetite, dizziness, cold sweat, heart palpitations. So that from the start when symptoms of anemia are encountered, the initial examination and initial diagnosis of anemia will help prevent unexpected side effects. With the initial diagnosis, the doctor can consider the cause of the patient's anemia.
Anemia, is a form of the cause of the ongoing medical disruption process, so treatment of anemia is aimed based on the cause of anemia itself. Some of the conditions below can trigger anemia, such as:
1. Indigestion or chronic diarrhea
2. Iron differentiation
3. Chronic infectious diseases, such as tuberculosis, HIV
4. Chronic diseases, such as cancer, kidney disease, autoimmune diseases, genetic disorders
5. Acute or chronic blood loss
If patients with anemia get a complete blood test results in the form of Hb value of 3.5 grams / dl, this condition is often caused by anemia that has lasted a long time. The existence of an underlying disease that may have been around for a long time can cause a decrease in hemoglobin and abnormalities of red blood cells in the blood. So it needs to be done direct examination to find out the cause and control anemia.
While the initial treatment, related to the need for blood transfusion, still requires evaluation and observation from the medical team or specialist doctors who treat patients. Even if an indication of a blood transfusion is performed if the hemoglobin is lower than 7 grams / dl or lower than 8 grams / dl, the transfusion procedure remains an authority of the treating doctor and the patient's clinical condition. This is because, there may be contraindications or medical conditions that prevent transfusion procedures, such as:
1. The presence of acute pulmonary edema or acute lung swelling
2. Congestive heart failure
3. The presence of pulmonary embolism
4. Severe hypertension
5. Severe kidney failure
6. Blood transfusion allergy
Therefore, you or the patient should discuss directly with the treating doctor. You can ask about the patient's condition, the presence or absence of a transfusion plan, or how the plan of the treating doctor relates to the condition or diagnosis that may have been established.
From the results of the discussion, then you, the patient or the patient's family will understand the treatment process, the causes of anemia and the treatment plan that will be given by the doctor. In general, the doctor will carry out the stabilization of the patient's general condition, so that further treatment can be given properly and reduce complications that may occur.
For now, if the patient is still in the emergency room or already in the room, then what can be done is to follow the doctor's plan and discuss the doctor's plans that will be carried out during this treatment.
Thus the info we can convey.