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Clinical Practice Guidelines

  • Iron deficiency
    www.rch.org.au/clinicalguide/guideline_index/Iron_deficiency/
    to malabsorption or gastrointestinal bleeding Blood transfusion is rarely required Risk factors for iron deficiency … deficiency Iron deficiency PIC Endorsed See also Anaemia Patient Blood Management in the surgical setting … The Australian Red Cross Blood Service – iron deficiency anaemia overview Key points Serum ferritin is the most …
  • Hypocalcaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypocalcaemia/
    bisphosphonates, calcitonin Metastasis/tumour lysis syndrome Pancreatitis Blood transfusion Assessment History … albumin if required by local laboratory) Ionised calcium (venous or capillary blood gas) Magnesium …) on inflation of blood pressure cuff to 20 mmHg above child’s baseline systolic blood pressure for 2 to 3 …
  • Anticoagulation therapy
    www.rch.org.au/clinicalguide/guideline_index/Anticoagulation_therapy/
    , with approximately 11-40% of patients requiring red blood cell transfusion. An increased likelihood of bleeding … in such scenarios. Obtain venous blood sample for an APTT assay 6 hours post UFH commencement, or as directed …/hour. 4. Do NOT turn off UFH infusion prior to collecting an APTT or anti-Xa assay. 5. APTT blood …
  • Epistaxis
    www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
    acid (TXA) Consider activation of massive transfusion protocol (MTP) Try simple measures first to stop … to prevent swallowing blood Apply firm pressure to the anterior portion (cartilage) of the nose against … on the back of their neck Instruct child to breathe through the mouth and spit out any blood into a kidney …
  • Fever and suspected or confirmed neutropenia
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_suspected_or_confirmed_neutropenia/
    Blood transfusion service Central Venous Access Device Management Policy and Procedure (RCH only … and suspected or confirmed neutropenia See also Sepsis Intravenous fluid Irradiation of blood products. RCH …) should be accessed by appropriately trained staff for blood sampling and antibiotics. If there is a delay …
  • Hyperkalaemia
    www.rch.org.au/clinicalguide/guideline_index/Hyperkalaemia/
    transfusion Artefact of collection process or technique (eg haemolysed sample) Significant thrombocytosis … investigations Urea, creatinine and electrolytes Blood glucose level Venous blood gas +/- urine analysis …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    blood types Headache Fever during infusion may reflect KD activity rather than a transfusion reaction …) Blood culture Urine microscopy and culture (sterile pyuria) ECG Serum to store (prior to IVIg … dysfunction. Consider slower IVIg infusion time Considerations in IVIg use Authorised by the National Blood …