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  • Request For Phlebotomy For Hereditary Hemochromatosis - Bloodassurance

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Print DSSPDONF004 Rev 10 Request for Therapeutic Phlebotomy 705 E 4th St Chattanooga, TN 37403 Phone # (423) 7560966 Ext. 1101 or (423) 7525959 Fax # (423) 7528484 Email: specialdonations bloodassurance.org.

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Therapeutic phlebotomy, when hemoglobin levels are less than 11 gm/dl, is less efficient at depleting iron stores in the body. In addition, patients with chronic hemolytic anemia and iron overload may not tolerate phlebotomy very well.

Patients with hemochromatosis and iron overload should undergo therapeutic phlebotomy weekly (as tolerated). Target levels of phlebotomy should be a ferritin level of 50 to 100 µg/L.

With few exceptions, if the hemoglobin is too low (below 12.5g/dL) the phlebotomy should be postponed to avoid the risk of over-bleeding and unnecessary iron deficiency. Otherwise a person can become iron avid and set themselves up for increased symptoms and struggles to achieve iron balance.

All patients with PV should undergo phlebotomy to keep their hematocrit below 45%. Lower hematocrit targets have been proposed for women with PV, but no empiric evidence supports that recommendation. All patients with PV should take aspirin, 81 mg daily, unless contraindicated by major bleeding or gastric intolerance.

One common procedure nurses perform is therapeutic phlebotomy, where about 500 ml of blood is removed through a large-bore needle over 15-30 minutes. The procedure is ordered as a treatment for hereditary hemochromatosis, polycythemia vera, and secondary polycythemia.

Aetna considers therapeutic phlebotomy medically necessary for any of the following indications: Hemochromatosis (including hereditary hemochromatosis); or. Individuals receiving therapy if hematocrit is greater than or equal to 54 % (or hemoglobin is greater than or equal to 180 g/L); or.

In most cases, doctors treat hemochromatosis with phlebotomy, or drawing about a pint of blood at a time, on a regular schedule. This is the most direct and safe way to lower body stores of iron link. Treatment of hemochromatosis can improve symptoms and prevent complications.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232