Suggest treatment to increase HB count in a CRF patient
Patient: MY MOTHER IS A CRF patient & her dialysis continue for 2 month 2 times per week,but her HB% day by day decrease.She got 3 bag blood on july 2015 & she take erythropoietin injection 2 times per week & her other investigation report normal now what will i do. Doctor: Hemoglobin not rising in spite of giving EPO injections can be due to the following-1. Iron Deficinecy2. Occult Blood Loss through the GIT3. Blood loss during Dialysis4. Chronic Infections 5. EPO resistance and Bad quality of EPO.Please look into these factors and your Nephrologist or Dialysis Tech will be able to take care of the issue. Recurrent Blood transfusions should be avoided if there is a possibility of going for a Kidney transplant at a later date.