hemoglobin vs. hematocrit - Forum on Fatigue and Anemia - francinebavay.info
Can you please explain the difference between hemoglobin and hematocrit? My doctor says they are the same but my values are different. My "Hgb" is 10 and. If a patient is severely dehydrated, the hemoglobin and hematocrit will appear higher than if the The hematocrit is a ratio of the packed cells to total volume. The hematocrit to hemoglobin ratio calculator estimates the parameter used in medicine as a predictor of hemoconcentration. If you're relatively healthy, you can .
They believed that low levels of hemoglobin may be a sign of a concealed infection. The proposed explanation for this relationship was the lower socioeconomic and nutritional condition in these mothers.
Through the study conducted on pregnant mothers, Karaflahin et al. Thus, it was stressed that family planning and pre-pregnancy assessments is needed to reduce the adverse effects. In this study, it became clear that the significant inverse relationship between hematocrit in the second half and birth weight and height was overshadowed by gestational age and in fact gestational age is the most important variable associated with hematocrit values.
The significant inverse relationship between the hematocrits in the two halves of pregnancy and gestational age can be noted as one of the other results obtained in this study. Accordingly, by increase in gestational age, hematocrit decreased and physiological dilution of blood became more visible.
Thus, changes in hemoglobin and hematocrit values in the two halves of pregnancy were determined for the subjects through studying the difference between hemoglobin and hematocrit in the second half of pregnancy compared to the first half of pregnancy[ 16 ] and the relationship between the obtained variables and pregnancy outcome was analyzed.
In this study, the difference between hematocrits in the two halves of pregnancy was significantly correlated with the risk of preeclampsia so that in patients with preeclampsia, hematocrit in the second half reduced less than other mothers. Von Tempelhoff et al. Depending on the disease severity, blood concentration increases with preeclampsia, while in women with pregnancy induced hypertension, blood volume is usually normal.
Using multivariate regression analysis, it was shown that the relationship between gestational age and the difference between hematocrit in the two halves of pregnancy was stronger. However, although the relationship between the two variables was not significant in this study and with this sample size, it seems that hemoglobin also decrease with increase of gestational age. Nevertheless, hematocrit is a parameter with more accuracy. In conclusion, one of the results obtained in this study was the significant relationship of the difference between hematocrit in the two halves of pregnancy with preeclampsia.
Therefore, lack of decrease in hematocrit in the second half in those with preeclampsia or those who are going to show signs and symptoms of preeclampsia within the next weeks, can have clinical application. In addition, the significant relationship between low levels of hemoglobin in the first half of pregnancy and preeclampsia as well as the significant relationship between low levels of hemoglobin in the second half of pregnancy and risk of preterm premature rupture of membranes might be useful to identify the women at risk of these complications and to perform the preventive measures.
Relationship between haemoglobin and haematocrit in the definition of anaemia.
The relationship between maternal hematocrit and pregnancy outcome. Maternal hematologic levels and pregnancy outcomes. Relation of haemoglobin levels in first and second trimesters to outcome of pregnancy. Hemoglobin concentrations influence birth outcomes in pregnant African-American adolescents. Huisman A, Aarnoudse JG. Increased 2nd trimester hemoglobin concentration in pregnancies later complicated by hypertension and growth retardation.
Early evidence of a reduced plasma volume. Acta Obstet Gynecol Scand. Maternal hemoglobin concentration during pregnancy and risk of stillbirth. Ghazi Jahani B, translator. Hemorheological parameters in the prognosis of the risk of fetal retardation in pregnancy with arterial hypertension. Akush Ginekol Sofia ;35 4: Relationship between acute fetal distress and maternal-placental-fetal circulations in severe preeclampsia. Goodarzi M, Bashardoost N. The study of the relationship of serrum ferritin and uterine contractions in pregnant women refer to medical centers of Isfahan.
Iran J Nurs Midwifery Res. Preterm premature rupture of membranes. Nutritional and socioeconomic factors. Maternal anaemia and preterm birth: Maternal hemoglobin concentration and its association with birth weight in newborns of mothers with preeclampsia. J Matern Fetal Neonatal Med. Maternal Anemia and Perinatal Outcome.
Maternal and perinatal outcome in patients with severe anemia in pregnancy. Int J Gynaecol Obstet. The young woman at the rise of the 21st century: New York Academy of Sciences; Oxidative status in iron-deficiency anemia.
J Clin Lab Anal. Lu M, Lu JS. Maternal nutrition and infant mortality in the context of relationality [Online] High and low hemoglobin levels during pregnancy: CBC with platelets and leukocyte counts, coagulation studies prothrombin time, PT and activated partial thromboplastin time, aPTTperipheral blood smear, reticulocyte count, and markers of hemolysis [lactate dehydrogenase, LDH, haptoglobin, bilirubin direct and indirect ]; and, less commonly, iron studies iron, transferrin, ferritinnutritional studies folate, vitamin B12and tests for red-blood cell antibodies Coombs' direct and indirect.
Emergency Management For all anemias: Identify the pathophysiology hemorrhage, destruction, marrow failure. The benefits of transfusion for patients with erythrocyte loss hemorrhage or destruction hemolysis will be temporary unless the underlying defect is corrected. Send patient samples to blood bank for typing and crossmatch analyses. Identify the site s of hemorrhage.
Anemia; Low hemoglobin, low hematocrit, low red cell count
Determine tempo of anemia with serial CBCs and measures of physiological compensation reticulocytosis. Platelets and coagulation factors should be replaced to levels that permit normal hemostasis. Red-cell transfusions may be helpful in stabilizing the patient.
Assess tempo of anemia. Repeat CBCs should be obtained at appropriate intervals until the patient's Hct and Hb values are stabilized at a level that is compatible with physiological demands. Diagnosis Diagnostic tests For all anemias: Because many therapies--especially erythrocyte transfusions--can interfere with the diagnostic workup, it is generally recommended that, if possible, relevant studies of whole blood, plasma, and serum are obtained prior to initiating therapy.
Minimal initial evaluation for clinically significant anemias includes CBC with red cell indices, and enumeration of both platelets and leukocyte; coagulation studies PT and aPTT ; peripheral blood smear examination; and reticulocyte count.
As a practical matter, iron studies iron, transferrin, ferritinnutritional studies folate, vitamin B12and markers of hemolysis [LDH, haptoglobin, bilirubin direct and indirect ] are commonly obtained at the same time. Tests for markers of hemolysis [LDH, haptoglobin, bilirubin indirect and direct ]. Fibrinogen, D-Dimer or fibrin split products. Red cell enzymes G6PD. Nutritional studies [iron serum iron, transferrin, ferritinfolate, vitamin B12].
Blood tests for renal and liver function. Reticulocyte levels can provide clues to the temporal evolution of the anemia, as well as the adequacy of the marrow response. Uncomplicated, sub-acute and chronic anemias will display a variable elevation in the reticulocyte count; the absence of a reticulocytosis in this setting should prompt a search for a coincident reticulocytopenic condition. As a measure of compensatory marrow erythropoiesis, reticulocyte levels must be corrected for the degree of anemia.
This is done by multiplying the observed reticulocyte count by the ratio of the patient's hematocrit to a normal hematocrit. The resulting number is known as the reticulocyte index RI. Burr cells are commonly observed as an artifact of peripheral smear preparation. Red cell inclusion bodies: Howell-Jolly bodies spherical basophilic bodies comprising nuclear remnants occur in hyposplenic states including post-splenectomy and sickle-cell disease, and less commonly in hemolytic anemias and megaloblastic anemias.
Basophilic stippling persistent RNA is associated with lead intoxication, thalassemia, and conditions characterized by defective heme synthesis. Confirming the diagnosis Low and high values for hemoglobin or hematocrit should be confirmed by repeat analysis. There are specific situations in which spurious values for Hb or Hct can be observed, including: If possible, samples should be re-drawn by direct venipuncture.
A similar artifact can arise when samples are drawn from a site that is proximal to an intravenous access site. In this case the clinical laboratory should report a "spun hematocrit" or "packed-cell volume". In many cases agglutination can be reversed by warming the blood sample prior to analysis. Cold agglutinins do not affect accuracy of spun hematocrit measurements. Abnormal proteins myeloma, cryofibrinogens can interfere with RBC analyses; spun hematocrit measurements are reliable under these conditions.
Consider complicating factors [fluid overload, cardiopulmonary compromise, religious objection, immune dysregulatory state hyperhemolysis, post-transfusion purpura ].
Transfusion goals may differ depending upon the degree and chronicity of the anemia, and the extent to which it compromises organ function. Preferred route of administration. Goal is to provide - mg elemental iron per day.
Concern for anaphylactic reactions; most formulations require a 'test' dose. Available as ferric gluconate test dose, followed by mg in ml saline infused over 30 - 60 minutes ; iron sucrose test dose, followed by mg over 60 minutes ; iron dextran test dose, followed by treatment dose.
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One unit of transfused blood contains approximately mg of iron. The etiology of vitamin Bdeficient states should always be determined. Schedules for other agents vary widely depending upon the specific condition that is being treated and the patient's underlying medical condition; these pharmaceuticals include steroids and other immunosuppressive agents, intravenous immunoglobulins, replacement hormones, and chemotherapeutic agents.
Refractory cases An attempt should be made to determine the nature of the underlying anemia blood loss, red cell destruction, marrow failure. For refractory cases, consider the possibility that the etiology of the anemia has evolved e. Identify and treat any underlying disorders. Consult a hematological subspecialist to assist with diagnosis and management. Disease monitoring, follow-up and disposition Several conditions can alter the half-life of both normal and transfused red blood cells.
The prognosis of an anemia is largely dictated by the prognosis of the corresponding underlying disorder. The patient should be continually monitored and supportive care provided while disease-specific therapy is administered. Hct ratio that does not approximate 1: