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9 Cards in this Set
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- Back
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What is a first line medication for a patient with Auto Immune Hemolytic Anemia (AIHA)?
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Corticosteroids
(Prednisone, 1–2 mg/kg/day in divided doses, is initial therapy) |
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What supplements are given to a patient with AIHA?
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Folate and sometimes Iron (if iron stores are low).
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What are the downfalls of IV immune globulins?
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They are expensive, and the benefit is short lived (1-3 weeks).
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If a patient with AIHA has splenomegaly, is a splenectomy indicated?
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Splenectomy if prednisone is ineffective or if disease recurs on tapering dose.
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What extra measures must be taken before blood transfusions in patients with COLD AIHA?
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The blood must be warmed before transfusion.
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What is the purpose of transfusions?
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To increase the Hematocrit of the patient (good RBC's)
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The risk of acute hemolysis of transfused blood is _____?
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A: High.
(Most transfused blood will survive similarly to the patient's own red blood cells) |
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True or False:
Incompatible blood is often used for transfusions in patients with AIHA? |
A: TRUE
Because of difficulty in performing the cross-match, incompatible blood may be given. Use the least incompatible blood if transfusions are indicated. |
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The serum levels of _____ must be closely monitored in patients with AIHA and are undergoing transfusions.
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Iron. Chelation may be necessary.
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