Haematology Flashcards
1
Q
PCC for sickle cell anaemia
A
MDT General pre preg care No recent flares Meds - off hydroxyurea 3/12, off acei, 5mg folic throughout Vaccination - encapsulated
Special risks: dehydration/cold/hypoxia/overexertion increas risk crises, nausea vomiting = dehydration and crises, worsening anaemia ans ACS, increased infection (uti), iugr (fetal distress, IoL, cs), baby effected
Risks to pregnancy: mc, PTB, growth restriction, VTE
Preg on dx: crises
Long term screening -echo for pulm HTB bp, urine, renal and liver Retinal screening Iron overload Red cell antibodies
