Treatments for Polycythemia
Treatments for Polycythemia
The list of treatments mentioned in various sources
for Polycythemia
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Hospital statistics for Polycythemia:
These medical statistics relate to hospitals, hospitalization and Polycythemia:
- 0.09% (11,825) of hospital consultant episodes were for polycythaemia vera in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 99% of hospital consultant episodes for polycythaemia vera required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 70% of hospital consultant episodes for polycythaemia vera were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 30% of hospital consultant episodes for polycythaemia vera were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 6% of hospital consultant episodes for polycythaemia vera required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- more hospital information...»
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Book Excerpts: Treatment of Polycythemia
Treatments of Polycythemia: Online Medical Books
16 MEDICAL BOOKS ONLINE!
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for more information about the treatments of Polycythemia.
Secondary polycythemia:
Treatment
(Professional Guide to Diseases (Eighth Edition))
The goal of treatment is correction of the underlying disease or environmental condition. In severe secondary polycythemia in which altitude is a contributing factor, relocation may be advisable. If secondary polycythemia has produced hazardous hyperviscosity or if the patient doesn’t respond to treatment of the primary disease, reduction of blood volume by phlebotomy or pheresis may be effective. Emergency phlebotomy is indicated for prevention of impending vascular occlusion or before emergency surgery. In the latter case, it’s usually advisable to remove excess RBCs and reinfuse the patient’s plasma.
Because a patient with polycythemia has an increased risk of hemorrhage during and after surgery, elective surgery should be avoided until polycythemia is controlled. Generally, secondary polycythemia disappears when the primary disease is corrected.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Spurious polycythemia:
Treatment
(Professional Guide to Diseases (Eighth Edition))
The principal goals of treatment are to prevent life-threatening thromboembolism and to correct dehydration. Rehydration with appropriate fluids and electrolytes is the primary therapy for spurious polycythemia secondary to dehydration. Therapy must also include appropriate measures to prevent continuing fluid loss.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Polycythemia vera:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Phlebotomy can reduce RBC mass promptly. The frequency of phlebotomy and the amount of blood removed each time depend on the patient’s condition. Typically, 350 to 500 ml of blood can be removed every other day until the HCT is reduced to the low-normal range. After repeated phlebotomies, the patient develops iron deficiency, which stabilizes RBC production and reduces the need for phlebotomy. Pheresis permits the return of plasma to the patient, diluting the blood and reducing hypovolemic symptoms.
Phlebotomy doesn’t reduce the white blood cell or platelet count and won’t control the hyperuricemia associated with marrow cell proliferation. For severe symptoms, myelosuppressive therapy may be used. Chemotherapeutic agents may be used to suppress the bone marrow, but these agents may cause leukemia and should be reserved for older patients and those with problems uncontrolled by phlebotomy. The current preferred myelosuppressive agent is hydroxyurea, which isn’t associated with leukemia. Patients who have had previous thrombotic problems should be considered for myelosuppressive therapy. The use of antiplatelet therapy is controversial because it may cause gastric bleeding. Allopurinol may be given for hyperuricemia.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Polycythemia, secondary:
Treatment
(Handbook of Diseases)
The goal of treatment is correction of the underlying disease or environmental condition. In severe secondary polycythemia where altitude is a contributing factor, relocation may be advisable. If secondary polycythemia has produced hazardous hyperviscosity of the blood or if the patient doesn’t respond to treatment of the primary disease, reduction of blood volume by phlebotomy or pheresis may be effective.
Emergency phlebotomy is indicated for prevention of impending vascular occlusion or before emergency surgery. In the latter case, it’s usually advisable to remove excess RBCs and reinfuse the patient’s plasma.
CLINICAL TIP: Because a patient with polycythemia has an increased risk of hemorrhage during and after surgery, elective surgery should be avoided until polycythemia is controlled. Generally, secondary polycythemia disappears when the primary disease is corrected.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Polycythemia, spurious:
Treatment
(Handbook of Diseases)
The principal goals of treatment are to correct dehydration and prevent life-threatening thromboembolism. Rehydration with appropriate fluids and electrolytes is the primary therapy for spurious polycythemia secondary to dehydration. Therapy must also include appropriate measures to prevent continuing fluid loss.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Polycythemia vera:
Treatment
(Handbook of Diseases)
Phlebotomy can reduce RBC mass promptly. The frequency of phlebotomy and the amount of blood removed each time depend on the patient’s condition. Typically, 350 to 500 ml of blood can be removed every other day until the hematocrit is reduced to the low-normal range.
After repeated phlebotomies, the patient develops iron deficiency, which stabilizes RBC production and reduces the need for phlebotomy. Pheresis permits the return of plasma to the patient, diluting the blood and reducing hypovolemic symptoms.
Phlebotomy doesn’t reduce the white blood cell or platelet count and won’t control the hyperuricemia associated with marrow cell proliferation.
For severe symptoms, myelosuppressive therapy may be used.
CLINICAL TIP: Patients with previous thrombotic problems should be considered for myelosuppressive therapy.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Salivation, increased:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient the importance of proper oral hygiene to prevent odor and dental problems. Remind him to seek regular dental care.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
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