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By ULY CLINIC staff

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Anemia in Children

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Anaemia is defined as reduced haemoglobin (Hb) concentration below established cut off levels for age as shown in table below

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Examination of FBC and peripheral blood

Severe forms of anaemia can lead to cardiac failure. Severity of anaemia canbe classified based on Hb as shown below:

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  • Mild anaemia: Hb 9 – 11gm/dL

  • Moderate anaemia: Hb 7 – < 9gm/dL

  • Severe anaemia: Hb < 7gm/dL

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SEVERE ANAEMIA


Diagnostic Criteria

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  • Severe palmar pallor

  • Hb < 7g/dL

 

Investigations:

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  • FBP

  • mRDT

  • BS for MPS

  • PLUS specific investigations as appropriate

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Treatment

  • Give packed RBC 10 mls/kg over 3 hours if,

    • Hb is <4gm/dL OR

    • Hb is < 7g/dL with signs of cardiac failure.

  • Give Furosemide IV 1 mg/kg at the initiation of blood transfusion.

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Note:


Provide specific treatment based on the underlying cause.

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Last updated on 01.10.2020

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References

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  1. ​Tanzanian Standard treatment guideline for children 2017 edition page 111-112

  2. Medical talk. Anemia clinical approach alorithim. http://www.medicaltalk.net/t/anemia-clinical-approach-algorithm-flowchart-diagram/7525. Accessed October 1, 2020

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