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Haem Emergencies - Coggle Diagram

- - - - No iron deficiency if normochromi
    - - Reaction to something
    - - Reactive leukocytosis
  - - - Put on O2
- - - - Males are never anaemic!
        Anaemia is pathological in males
    - - Large mononuclear cells encompassing 40% white cells
      - Monocytes tend to infiltrate skin
  - - - No DVT neg doppler
    - - Lar
  - - - Paracetamol
      - 2.Weak opiod
      - Stong opiod
      - Interventiional tx
    - - Leukostasis due to big cells
  - - - KEy to determining right therapy
    - - In an emergency
  - - - Allopurinol
      - rasburicase
    - - High K+
      - High phosphate
      - Low Ca2
      - Hyperuricaemia
- - - - Anaemia is pathological in men
    - - Schistocyte
      - Sickle cells
  - - - Morphine
    - - Not with saline
      - Glucose heavy fluids - Hartmanns > saline
        Kidneys are vulneravle in Sickle cell - don't give a load of salt
    - - Infx can be trigger
      - Co-amox + clarithromycin
    - - Some evidence it triggers antibody production - alloimmunisation
      - Decision should be made by someone familiar with pt or Sickle
    - - Sickle cells block microvasculature
      - Lungs get injured quickly
      - Medical emergency
    - - Simple vs Exchange
        
        Check S
  - - - Doen't happen in Sickle unless DIC
    - - Malaria parasites
      - Triggered overt haemolysis
- - - - No white cells
      - Having a transplant
      - Add aminoglycoside
      - Tazocin
- - - - Neutrophils 80%
      - Rouleaux
    - - High creatinine
      - Low albumin
      - High total protein
        
        What is other proportion of protein cause albumin in low
  - - - low CA can caue ache
    - - Avoid aminoglycosides - nephrotoxic