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- Title
Approaches to a Patient With Anemia Who Is Refusing a Blood Transfusion.
- Authors
Wiser, Zachary; Gauer, Robert
- Abstract
A 33-year-old woman presents with symptomatic anemia. She reports a long history of abnormal uterine bleeding and is currently menstruating. On admission, her blood pressure is 105/90 mm Hg, and her heart rate is 113 beats per minute. She reports lightheadedness when standing and dyspnea on exertion. Her hemoglobin (Hb) is 4.9 g per dL (49.0 g per L), with a mean corpuscular volume of 61.0 μm3 (61.0 fL), which indicates severe iron deficiency. I recommend transfusion of two units of packed red blood cells; however, she tells me that she and her husband are practicing Jehovah's Witnesses, and she provides a blood-refusal advance directive card.
- Subjects
BLOOD transfusion; JEHOVAH'S Witnesses; ERYTHROCYTES; BLOOD pressure; ANEMIA
- Publication
American Family Physician, 2024, Vol 109, Issue 1, p89A
- ISSN
0002-838X
- Publication type
Article