Considering current perioperative transfusion standards, which of the following pediatric patients is most in need of a blood transfusion?
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AA patient with sickle cell anemia whose hematocrit is 20%
BA healthy patient whose hemoglobin is 9 g/dL
CA patient with leukemia whose hematocrit is 31%
DA patient with chronic anemia whose hematocrit is 23%
✓ Correct answer: A. A patient with sickle cell anemia whose hematocrit is 20%Answer: A patient with sickle cell anemia whose hematocrit is 20% According to contemporary transfusion triggers, hemoglobin (Hgb) and hematocrit (Hct) levels are allowed to decrease to the following levels before transfusions are deemed necessary: Healthy pediatric patients: Hgb 7-8 g/dL or Hct 21-24% Pediatric patients with chronic conditions: Hgb 10 g/dL or Hct 30% The decision to transfuse should not be based solely on a lab value; clinical factors must also be taken into account.
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