By ULY CLINIC Staff,

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Severe Anemia in Children with malnutrition

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Anaemia is common in children with severe malnutrition. Severe anaemia is defined as Hb<4 g/dl (PCV < 12%) or Hb of 4 - 6 g/dl with signs of respiratory distress/heart failure.

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Management

Give 10ml/kg packed red blood cells or 10ml/kg whole fresh blood slowly over 3hours.

 

If child has signs of cardiac failure give packed RBCs rather than whole blood.

• Give frusemide IV 1 mg/kg at the start of blood transfusion.

• Stop all oral intake and IV fluids during blood transfusion.

• Stop blood transfusion if a child develop fluid overload.

• Do not give iron in stabilization and transition phases of Treatment.

• Do not repeat blood transfusion within 4 days​

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Last updated on 15.09.2020

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References

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1. Tanzanian Standard treatment guideline for children 2017 edition page 91