Question

A 5-year-old boy presents with pallor and fatigue. Hb is 60 g/L, MCV 60 fL, ferritin 5 µg/L. There is no haemodynamic compromise. According to paediatric transfusion guidelines, what is the most appropriate management?

Accepted Answer

Oral iron supplementation and dietary advice, no transfusion

Answer

Immediate red cell transfusion for all children with Hb <70 g/L

Answer

High-dose IV iron as first-line

Answer

Exchange transfusion

Answer

No treatment; normal for age

Practice question

A 5-year-old boy presents with pallor and fatigue. Hb is 60 g/L, MCV 60 fL, ferritin 5 µg/L. There is no haemodynamic compromise. According to paediatric transfusion guidelines, what is the most appropriate management?