Child having long history of hemoglobin 5 gm% next step?
Ans. is 'b' i.e., CBC,reti count with peripheral smear In above question, if child is stable, then no need to give blood transfusion. Before staing Iron, we have to rule out types of anemia as Iron is indicated only in nutritioral anemia. Hb ele ctrophoresis is indicated if there is featuer of hemolytic anemia (thalassemia) so over all our next step is complete hemogram with manual peripheral smear examination. (obtion b).
Blood transfusion
CBC,reti count with periphesal smear.
Sta Iron
Hb elechophoresis