Question

A 40-year-old woman with long-standing heavy menstrual bleeding presents with fatigue. Haemoglobin is 78 g/L with low ferritin. She is haemodynamically stable and asymptomatic at rest. According to Canadian transfusion guidelines, what is the most appropriate management?

Accepted Answer

Oral iron therapy and management of bleeding source, reserving transfusion for haemodynamic instability or more severe symptoms

Answer

Immediate red cell transfusion to normalise haemoglobin

Answer

No treatment because haemoglobin is acceptable

Answer

Start erythropoietin injections

Answer

Admit to ICU for transfusion and monitoring

Practice question

A 40-year-old woman with long-standing heavy menstrual bleeding presents with fatigue. Haemoglobin is 78 g/L with low ferritin. She is haemodynamically stable and asymptomatic at rest. According to Canadian transfusion guidelines, what is the most appropriate management?