NKF K/DOQI GUIDELINES 2000
GUIDELINES FOR ANEMIA OF CHRONIC KIDNEY DISEASE
VI. Role of Red Blood Cell Transfusions
Red Blood Cell Transfusions in Patients With Chronic Renal Failure
Red blood cell transfusions are indicated in:
A. The severely anemic patient with recognized symptoms or signs due to the anemia, eg, the patient with acute blood loss associated with hemodynamic instability (Opinion)
B. The Epoetin-resistant patient who has chronic blood loss (Opinion)
Rationale The following principles regarding red blood cell transfusion, promulgated by the American College of Physicians,318 should be followed when determining the need for transfusions:
1. Determine the reversibility/nature of anemia so that reversible causes may be treated.
2. Determine which, if any, symptoms or signs are likely to be reversed by giving red blood cell transfusions. If none can be identified, do not transfuse.
© 2001 National Kidney Foundation, Inc