High School

A 6-year-old normal-sized child. Current Hb 70. What volume of pRBC do you need to give to increase Hb to 80? A. 80mL B. 120mL C. 160mL D. 200mL E. 240mL

Answer :

Final answer:

To raise the Hb level of an average 6-year-old child from 70 to 80, 160 mL( option C) pRBC would be needed.

Explanation:

To determine how much volume of packed Red Blood Cells (pRBC) is needed to increase the Hemoglobin (Hb) from 70 to 80, we need know the child's blood volume.

Assuming a normal adult has a total blood volume of 5 liters (or 5000 mL), a child's blood volume is approximately 80 mL/kg. As per WHO, an average 6-year-old child weighs about 20kg, so their blood volume would be about 1600 mL.

Each mL of pRBCs increases Hb by about 1 g/L. Thus, to raise Hb from 70 to 80, we would require 10 mL pRBC per L of blood. Therefore, for our given child, to raise Hb from 70 to 80, we would require (10 mL/L * 1600 mL) = 16000 mL = 160 mL pRBC. Hence, C. 160mL is the correct option.

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