G6PD (glucose 6-phosphate dehydrogenase) deficiency
G6PD (glucose 6-phosphate dehydrogenase) deficiency or Favism
jaundice, pallor, tea colored urine. there might be personal or family history of the condition. ask about taking fava beans or any offending drug that may trigger the condition e.g. Metheprim.
CBC, BG and Rh, TSB if Hb level is <8gm/dl prepare PRBC and send for CBP with blood film, retic count, ccombs test, G6PD assay.
IVF maintenance (if there are signs of severe dehydration and shock due to severe anemia give shoot NS 20 ml/kg)
If Hb level is <8gm/dl give PRBC 10-15 ml/kg followed by Furosemide amp 1mg/kg
Collect urine in bottle for color follow up
Follow up of Hb level every 12 hour
When to discharge:
if retic count normalized
urine color cleared