Discussion Forums > Thalassemia Major

Duration between 2 Blood bags

(1/4) > >>

ANI:
Dear All
 Can someone educate me about the minimum duration required between  2 units of blood. In India ( specially in my city) doctors use one unit today and ask us to stay back for the night and give another the next day. It is very tiring for my 4 year old kid. Normally we use packed cell of 200 ml.

maha:
Hi ANI
Do you mean to say your son gets two bags of 200ml each. How much does your son weigh?Normally if the pre tx hb is very low the doctors may ask to stay overnight to administer another bag. Blood volume must not exceed 20ml/kg. My 4 year old gets between 200ml-250ml and is spread over 4 hours.

maha

ANI:
Thabnks Maha for your reply. Actually he weighs 16 kg and in India the packed cell volume is sometime between 160-180 ml. Not al;ways but many times we have been asked to take 2 bags at 7 hb level. We are trying to maintain pre transfusion level at 8 but sometime after 23 -24 days it goes down below 8 also. That time only 2 unit is administered.

maha:
Yes Ani, if a little child needs to get 2 units the second unit is given after a gap of 12 hours usually, so as to not burden the heart. A pre tx hb of 8 inspite of transfusing every 24 days is low. Does he have any antibody issue? Are you giving your son vitamin E. If not start him on 100 IU of natural vitamin E daily.When I started vit E and L-carnitine my son`s pre tx hb went up from 8 to 10. Both are available in GNC stores.

take care
maha

ANI:
We never checkd this antibody thing. How this can be checked. Docs here are not knowledgeable. Pl let me know. is it done in India.

Navigation

[0] Message Index

[#] Next page