Question

accounting for age, illness, and risk factors, a transfusion is recommended when the hemoglobin is at which level?

Answer 1

Consider transfusion if hemoglobin is 8 g/dL or below or if there are symptoms (chest pain, orthostatic hypotension or tachycardia unresponsive to fluid resuscitation, or congestive heart failure).

For inpatients with active acute coronary syndromes and a Hb level less than 8 g/dL, transfusion should be taken into consideration. Adult critical care medical and surgical inpatients with an Hb level less than 10 g/dL may receive a transfusion while receiving sepsis treatment within the first six hours of resuscitation. Acute sickle cell crisis, acute blood loss of more than 30% of blood volume, and symptomatic anemia (which results in shortness of breath, fainting, congestive heart failure, and decreased exercise tolerance) are all indications for transfusion.

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