What are the methods to overcome a low platelet count?

Question

Hello doctor.

Two days ago, my father's platelet count was 17000. External platelets were administered to him. After the transfusion, the count jumped to 40000. Today, it has dropped to 28000. Is this a normal drop? What steps should be taken? There are no further symptoms.

Answer 1

Hello,

Welcome to icliniq.com.

Please inform me about your father's long-term conditions, which caused him to have thrombocytopenia (low platelet count), necessitating platelet transfusion. Platelet transfusion causes a fast increase in platelet count, which is frequently followed by a new decrease, especially when platelet synthesis is insufficient. The platelet count will very certainly climb again. Furthermore, without the whole clinical history and information, it may be impossible to comment on the next steps.

Answer 2

Hello,

Welcome back to icliniq.com.

Please provide me with the entire clinical records. He must be monitored for significant signs and symptoms. Repeat blood tests such as CBC (complete blood count) and ESR (erythrocyte sedimentation rate) every 3 to 4 days for the following 10 days. Keep an eye out for dehydration, which can cause increased thirst, reduced urine production, and other symptoms. Watch out for warning indicators such as a decrease in platelet count and an increase in hematocrit. Check for defervescence (which indicates the start of the crucial period). It usually lasts between 24 and 48 hours. Your patient may improve clinically during this stage, but those with significant plasma leakage might develop severe dengue due to a rise in vascular permeability. Because the patient is elderly, fast worsening in terms of dehydration, reduced urine production, and antihypertensive medications is possible.

I hope this helps.

Thank you.