Guidelines for therapeutic phlebotomy

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    4 Dec 2014 TABLE 1 Criteria for Initiating Therapeutic Phlebotomy. Patient. Serum Ferritin (ng/ml). < 18 years regardless of gender. >
    Blood collection is used to obtain blood from donors for various therapeutic purposes. 1.6 Structure of document. This document is divided into five parts: •. Patients with hemochromatosis and iron overload should undergo therapeutic phlebotomy weekly (as tolerated). Target levels of phlebotomy should be a ferritin
    What conditions require therapeutic phlebotomy? Therapeutic phlebotomy is currently indicated for the treatment of hemochromatosis, polycythemia vera, porphyria cutanea tarda, sickle cell disease, and NAFLD with hyperferritinemia .
    How often is therapeutic phlebotomy for polycythemia? Because phlebotomy is the most efficient method of lowering the hemoglobin and hematocrit levels to the reference range, all newly diagnosed patients are initially phlebotomized to decrease the risk of complications. Patients can be phlebotomized once or twice a week to reduce the hematocrit to less than 45%.
    How much blood is needed for a therapeutic phlebotomy? A typical “one unit” phlebotomy of blood is approximately 500 grams . A transfer pack holds approximately 600 mL when full. The blood should be collected at a rate that the patient can tolerate, generally over 10-15 minutes. Observe the patient for adverse reactions during and immediately following the procedure.

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