According to NICE, what haemoglobin threshold may be considered for red cell transfusion in a patient without acute coronary syndrome or major bleeding?
Answer and explanation
Correct answer: D. 70 g/L, with a target of 70 to 90 g/L
- Step 1: Restrictive transfusion strategies reduce exposure without harming most patients. Step 2. NICE suggests a restrictive threshold of 70 g/L for most patients, with 80 g/L for acute coronary syndrome. Answer: 70 g/L, with a target of 70 to 90 g/L. Why not the others: Higher thresholds lead to unnecessary transfusion. A threshold of 50 g/L is dangerously low for most. A target of 150 would be above normal.
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