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How Risky Can Blood Transfusion Be With Elevated Creatinine?
One gyne doctor ordered blood transfusion with a hematocrit of 0.9. The internal medicine doctor ordered ahead of time to hold blood transfusion because the creatinine is too high but the gynecologist still insist on ordering the transfusion. I believe in "The benefits outweighs the risk". What is more risky?
Mon, 7 Jul 2014
Hi,
Looking at the details, benefit is important but risk needs to be understood.
In a blood transfusion, occasionally reactions can occur leading to raised creatinine, hemoglobinuria and maybe shock.
In a person with already high creatinine, it should be carefully assessed.
However, the chance of reactions now a days are minimal and primary benefit should be looked into.
If the HB is 9g%, still time is present and nutritional improvement can be tried.
Any further queries, happy to help again.
Dr. Prakash HM
Looking at the details, benefit is important but risk needs to be understood.
In a blood transfusion, occasionally reactions can occur leading to raised creatinine, hemoglobinuria and maybe shock.
In a person with already high creatinine, it should be carefully assessed.
However, the chance of reactions now a days are minimal and primary benefit should be looked into.
If the HB is 9g%, still time is present and nutritional improvement can be tried.
Any further queries, happy to help again.
Dr. Prakash HM
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