A patient with fluid volume excess and low haemoglobin would most likely receive which order?

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Prepare for the Durham College Consolidation Exam. Study with flashcards and multiple choice questions, each question includes hints and explanations. Ace your test!

Multiple Choice

A patient with fluid volume excess and low haemoglobin would most likely receive which order?

Explanation:
When fluid volume is already high, the goal is to raise the red blood cell count without adding a lot of extra fluid. Packed red blood cells provide concentrated red cells with little accompanying plasma, so they raise hemoglobin and improve oxygen delivery while minimizing further fluid overload. Intravenous saline would add fluid and worsen edema. Diuretics address fluid but not the anemia. Platelets target clotting factors, not hemoglobin. So transfusing packed red blood cells is the appropriate order.

When fluid volume is already high, the goal is to raise the red blood cell count without adding a lot of extra fluid. Packed red blood cells provide concentrated red cells with little accompanying plasma, so they raise hemoglobin and improve oxygen delivery while minimizing further fluid overload. Intravenous saline would add fluid and worsen edema. Diuretics address fluid but not the anemia. Platelets target clotting factors, not hemoglobin. So transfusing packed red blood cells is the appropriate order.

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