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#1
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When we need blood transfusion
When an AML patient need blood transfusion.
Please share the HB count for blood transfusion |
#2
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jinsjohn,
From my experience, a pint of blood will usually increase my HGB 1 point on average, that is when I am not on chemo... That is to say Day 1 I'll have a 6.5 HGB, receive a pint and Day 2 I will have a 7.5 HGB... My body has been quite destructive to my RBC's especially during chemo, and on some days, I might see the same number or slightly higher, i.e. 6.6 HGB on Day 2 even after a transfusion... Sometimes my Bone Marrow decides to kick in (even during chemo), and under the first case scenario, I'll see Day 1 - 6.5 HGB, transfusion, then Day 2 - 7.5 HGB, and Day 3 - 8.0 HGB with no transfusion... Everyone reacts different to transfusions, and it's possible to hold on to a pint for days or even weeks if everything else is at a stand still... Hope this helps, All the Best, and may God Bless us ALL!!!
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Married, father of three daughters; now 46; diagnosed w/ Major form MDS 6/18/2013; had low counts across the board; Multiple chromosome abnormalities; Finished 2nd round Dacogen 9/13; SCT - Oct. 31, 2013; Sibling match 10/10 ; 5.5% blasts down to 3%, now 1% (post BMT) |
#3
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Jinsjohn,
In India, the normal cutoff for transfusion is 7, unless a surgery or other procedure is planned. 1 unit of pRBC should raise the Hb by 1 point. You can request a transfusion at a higher Hb if the patient is feeling weak etc. Most docs will agree. All the best!!
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Mother age 79, dx MDS RCMD low risk del 20q April 2013, no response to EPO, Danazol. pRBC tx dependent - 2 units every 3-4 weeks, exjade Dec 2013 - Mar2014, restarted Dec 2014 |
#4
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thanks for all your replys...
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#5
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transfusions
The only thing I pay attention to is my CRT level. Above 29 I'm OK, below 29 to 28 2 units PRC, below 28, 3 units. 3 units are rare. Was going every 2 to 3 weeks for CBC, and getting blood every 2 or 3 weeks. Starting Sept. 2013, I started going 6,7.8,9 weeks between infusions. My Dr. has no explanation, he calls me the miracle man
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82 yr. old male. Diagnosed in 2003. Started Blood infusion 1/5/2004, average of 2 units every 2 weeks. Inject Procrit weekly 40,000 ML. I have had 344 units of PRC. E Mail leojean@comcast.net |
#6
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USAF1125, What exactly is CRT? My mothers doctor looks at the Hb to decide number of units, around 7, she gets 2 units.
Your increasing transfusion intervals seem nothing short of a miracle. Many more such miracles to you!!
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Mother age 79, dx MDS RCMD low risk del 20q April 2013, no response to EPO, Danazol. pRBC tx dependent - 2 units every 3-4 weeks, exjade Dec 2013 - Mar2014, restarted Dec 2014 |
#7
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transfusions
CRT stands for Hematocrit, not sure what it means, but it regulates when I need blood. It's the only number I pay attention to. Any other numbers would make me think about the MDS, and that I will not do. I don't get concerned about anything, worrying will never cure anything or stop anything. Live life to the fullest, enjoy every day. Get out and smell the roses
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82 yr. old male. Diagnosed in 2003. Started Blood infusion 1/5/2004, average of 2 units every 2 weeks. Inject Procrit weekly 40,000 ML. I have had 344 units of PRC. E Mail leojean@comcast.net |
#8
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Hematocrit
Thanks for the reply usaf1125.
As per my understanding, Hemoglobin is approx Hematocrit/3. Stay well!!
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Mother age 79, dx MDS RCMD low risk del 20q April 2013, no response to EPO, Danazol. pRBC tx dependent - 2 units every 3-4 weeks, exjade Dec 2013 - Mar2014, restarted Dec 2014 |
#9
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need for blood
I'm sorry I didn't mention the Hemoglobin, the need for blood is set by the 2 of them.I don't do anything, about the Iron overload, I'm always off the chart. My Dr. sais I am a most unusual man.
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82 yr. old male. Diagnosed in 2003. Started Blood infusion 1/5/2004, average of 2 units every 2 weeks. Inject Procrit weekly 40,000 ML. I have had 344 units of PRC. E Mail leojean@comcast.net |
#10
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Quote:
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