Answered: Jane Walker is a 55-year old who…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question

Jane Walker is a 55-year old who sustained a fractured pelvis and femur in a motor vehicle accident. On day 2 post op her haemoglobin is 66 g/L. She is well hydrated, has no signs of active bleeding and her pain is well controlled. However, she becomes dizzy, slightly tachycardic and short of breath when being sat out of bed. What is the most appropriate treatment for Jane to relieve her symptoms of anaemia?

A single unit of red cells should be prescribed, followed by clinical reassessment to determine if further units are required

Two units of red cells should be prescribed to ensure sufficient haemoglobin increment to improve symptoms

Prescribe three units of red cells to increase Jane's haemoglobin to 90-100 g/L, as each unit increases the haemoglobin approximately 10 g/L

A red cell transfusion is not indicated in this situation, as she should be able to tolerate a haemoglobin of 66 g/L

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