Jump to content

Featured Replies

Posted
comment_39548

Hi,

I just wanted to see if anyone keeps track of the number of transfusions on patients' that are transfusion dependent and absence of bleeding? Mostly in regards to iron overload. Is this part of your blood management program and how do you follow-up on these at-risk patients to their physicians? Thanks for any input!!

  • 2 weeks later...
  • Replies 4
  • Views 1.2k
  • Created
  • Last Reply

Top Posters In This Topic

comment_39764

We don't formally track this for our patients, though I have had physicians call and ask how many units a particular patient has received. Tells me that some of them are thinking.

comment_39770

We have been asked to perform therapeutic phlebotomies on some patients who have received multiple transfusions (oncology pts). Their dx is hemochromatosis secondary to transfusion.

comment_39823

Since this wonderful biological system we are all provided at birth is a little different from every other one, which we in the medical professions seem to forget with alarming frequency, I would think that this is a situation which does not lend itself to a "one size fits all" approach. My philosophy on this would be that if a physician is caring for patients on long term transfusion support they would be aware of such concerns and tailor their care based on each individual patients responses to those transfusions. Now this could be a very good opportunity for a Blood Bank / Transfusion Service Medical Director to provide some Medical Staff with a little education.

:blahblah:

comment_39825

How very topical!! We've just had a crossmatch request on a repeatedly transfused patient. After the second to last transfusion I added haematinics on myself and found that the ferritin was 1650. I discussed with the medics that this should possibly be investigated and that transferrin might be a good place to start. Well they transfused anyway and didn't investigate. The ferritin today is 6500 and they are have requested a further 2 unit xm. I point blank refused to do it until they discussed it with the consultant haematologist. I'm organising a talk for the junior docs now on transfusion of chronic anaemia to go along with my other talk I'm organising on the appropriate use of Anti-D...

Create an account or sign in to comment

Recently Browsing 0

  • No registered users viewing this page.

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.