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By ULY CLINIC Staff,

Severe Anemia in Children with malnutrition

Anaemia is common in children with severe malnutrition. Severe anaemia is defined as Hb<4 g/dl (PCV < 12%) or Hb of 4 - 6 g/dl with signs of respiratory distress/heart failure.

Management


Give 10ml/kg packed red blood cells or 10ml/kg whole fresh blood slowly over 3hours.

 

If child has signs of cardiac failure give packed RBCs rather than whole blood.

  • Give frusemide IV 1 mg/kg at the start of blood transfusion.

  • Stop all oral intake and IV fluids during blood transfusion.

  • Stop blood transfusion if a child develop fluid overload.

  • Do not give iron in stabilization and transition phases of Treatment.

  • Do not repeat blood transfusion within 4 days

Last updated on 15.09.2020

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References

  1. Tanzanian Standard treatment guideline for children 2017 edition page 91

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