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Post splenectomy ( changes in blood, complications, vaccines. antibiotics) |
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Post splenectomy what can you expect?
Blood changes
RBC’s- morphology changes to include the appearance of Howell-Jolly bodies and Pappenheimer granules. Occasional erythroblasts
WBC’s- increased. There is a marked left shift in the differential count
Platelets – normally the spleen pools 1/3 of platelets. Rise post splenectomy >1000 x109/l. Peaks at 7-14 days
Complications
The usual blurb about
Early – bleeding (primary/ reactionary)
Respiratory complications esp with open
Intermediate
Late – covered in vaccines and antibiotics below
Vaccines and antibiotics
Vaccinations
Pneumovax
Haemophilus Influenza type b vaccine (HiB)
Meningococcal Group C conjugate vaccine
Influenza immunisation
Antibiotics
Life long prophylactic antibiotics are still recommended (oral Phenoxymethylpenicillin or Erythromycin)
The British Committee for Standards in Haematology (BCSH) is a sub-committee of the British Society for Haematology (BSH). The primary purpose of the BCSH is to provide haematologists with up to date advice on the diagnosis and treatment of haematological disease by the production of evidence based guidelines using a well defined BCSH process. |
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