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5 Αυγ 2021 · All patients: commence iron therapy Version 5 August 2021 If Hb <50g/L or very symptomatic consider admission Hb < 120g/L female Hb < 130g/L male WITH Ferritin < 30μg/L OR Ferritin <100μg/L + Transferrin saturation ≤20%. Careful history/ examination including assessment Yes of family history.
Anaemia of chronic disease. Lead poisoning (rare) (Thalassaemia and sideroblastic anaemia associated with iron and ferritin and TIBC. Thalassaemia trait is associated with MCV, MCH and MCHC -often very low for the degree of anaemia)
important to monitor the ferritin level of these patients; the haemoglobin result may be normal but if the ferritin level drops below 100µg/L, IV iron will be needed to prevent the patient’s haemoglobin dropping and causing symptoms of anaemia.
Symptoms of iron deficiency anaemia can include: tiredness and lack of energy. shortness of breath. noticeable heartbeats (heart palpitations) paler than usual skin. headaches. Less common symptoms of iron deficiency anaemia. See a GP if: you think you might have iron deficiency anaemia. What happens at your appointment.
This information sheet from Great Ormond Street Hospital (GOSH) explains the causes, symptoms and treatment of iron deficiency anaemia and where to get help. Anaemia is a very common condition where the number of red blood cells or the amount of haemoglobin in red blood cells is less than normal.
What are the symptoms of Iron Deficiency Anaemia (IDA)? Iron deficiency commonly causes tiredness, difficulty in concentrating, and dizziness.
If persistently <1.0 x 109/L obvious cause found, refer Haematology. Note: A neutrophil count of between 1-5 - 2.0 x 109/l whilst below the normal significance. People of Afro-Caribbean or Middle Eastern ethnicity have a lower (constitutional or ethnic neutropenia) 1 - 1.8 x 109/l. This is of no neutrophils are <1.0 x 109/l on repeat testing.
