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Blood Counts

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Blood Counts

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Hemoglobin

  • Carry oxygen to the body
  • Allow food to be used for energy
  • Provide color to the skin and nail beds

Normal Level: 11–14

OK Level: Greater than 8

May need a blood transfusion: 8 or less

Special Care for Low Levels

  • Watch for signs, such as feeling very tired with no energy, very irritable and pale cheeks and lips
  • Watch for signs of a very low level, such as headaches, dizziness, fast heart rate or shortness of breath
  • May need extra rest or rest periods
  • May need a blood transfusion

Platelets

  • Prevent bleeding
  • Help clotting with injury

Normal Level: 150,000 – 450,000

OK Level: Greater than 100,000

Low Level–Watch Closely: Less than 50,000

May need a platelet transfusion: 20,000 or less

Special Care for Low Levels

  • Watch for signs of bleeding, such as:
    • Easy or bad bruising
    • Unusual bleeding (petechiae)
    • Bleeding longer than normal
    • Bleeding longer than normal with menstrual period
    • Blood in urine, stool (poop) or vomit (throw up)
    • Put pressure on area of bleeding for 5-20 minutes to stop it

Neutrophils

  • A type of white blood cell that fights bacterial infections

Normal Level: 1,500 – 3,500

OK Level: Greater than 1,000 (or 1.000)

Low Level (neutropenic): Less than 500 (or 0.5)

Special Care for Low Levels

  • Watch for fever (call with temperature at 100.4° F or greater)
    • Do not give Tylenol® for a fever, unless instructed
  • Watch wounds for signs of infection, such as:
    • Redness, tenderness, warmth, swelling, drainage

Blood Products and Transfusions

The decision to give your child a blood product (transfusion) is made on a case-by-case basis, depending on blood cell levels and your child’s diagnosis. If your child is due for a spinal tap or other procedure, such as surgery, a blood or platelets transfusion may be needed to make the procedure safer. If a transfusion is required, your child may go to the infusion center or to the inpatient unit to receive it.

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