Chapter 5.4: Hemolytic Anemia

1. Hemolytic Anemia due to Maternal-Fetal Blood Group Incompatibility:

• Phototherapy Distance: 1 meter

• Phototherapy target for reduction of free Bilirubin: < 1 mg/100 ml blood

• 10% Glucose Infusion: 50 – 100 ml/kg

• Albumin: 20 ml/kg

• Exchange Transfusion: 200 ml/kg

2. Autoimmune Hemolytic Anemia:

• Splenectomy if Corticosteroids are ineffective after: 6 months

3. Thalassemic Hemolytic Anemia:

• Packed Red Blood Cell Transfusion: 10 – 20 ml/kg

• Maintain Hb level: 8 – 11

• Desferal 500 mg: Subcutaneous infusion

• a.Folic: 5 mg/day