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Re: fe injections - in pregnancy - or transfusion - your choice? From: Steve & Eryl Raymond (eryl@intekom.co.za) Sun Jul 29 04:30:07 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Kathi Wilson: "Re: OB: Fun with preeclampsia--very long!" Previous message: Steve & Eryl Raymond: "Re: Case help" Maybe in reply to: mark decker: "fe injections - in pregnancy - or transfusion - your choice?" Next in thread: mark decker: "Re: fe injections - in pregnancy - or transfusion - your" Reply: mark decker: "Re: fe injections - in pregnancy - or transfusion - your" Is she pregnant and what age is she? Why is she anaemic? Don't you think a haematologist should see her? What if she gets subacute combined degeneration of the cord from B12 deficiency which you mask with iron therapy and folate. I've always understood that parenteral iron should be reserved for those who absolutely cannot tolerate oral because you get no increased rise in haematocrit and considerable danger from allergy.. And blood trabsfusion is only for those times when you can't wait for six weeks for the Hb to rise. Absolutely yes, increase the oral therapy but get her to a haematologist. stray mark decker wrote: > i have a profoundly tired pt - normal thyroids - hgb/hct now 9/27 - > takes iron po but does not tolerate it > liver extract capsules from enzymatic therapies is cow's liver fe - > alreaady digested in human form and 6/day is equal to 65 mg elemental iron - > does ok with that > i suppose she could take 12 a day and that is likely what i will try next > but her hgb does not go up > i have no suspicion of gi bleed - could work her up > likely should check for pernicious anemia hidden by fe deficincy as well > but if all that is normal - and increasing her iron does not help > do you prefer > science and logic please... > > fe injections..risks of reactions.. > or transfusion?? > > <when counts get to less than 7 - 8 gms hgb?> > mdmd -- Dr.S.H. Raymond Head of Department of O & G Empangeni Hospital South Africa 3880 Phone: (+27) 35-7721111 Fax: (+27) 35-7922596 Next message: Kathi Wilson: "Re: OB: Fun with preeclampsia--very long!" Previous message: Steve & Eryl Raymond: "Re: Case help" Maybe in reply to: mark decker: "fe injections - in pregnancy - or transfusion - your choice?" Next in thread: mark decker: "Re: fe injections - in pregnancy - or transfusion - your" Reply: mark decker: "Re: fe injections - in pregnancy - or transfusion - your"

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