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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Plasma Replacement Required In Case Of Elevated MCHC And Hemoglobin As Shown In CBC Report?

Yes, I am a registered Medical Technologist. the other night at work, i saw an MLT performing a plasma replacement on a cbc sample where the Mchc was elevated. (about36.7) the Hemoglobin was about 8.2 and the Hematocrit was about 22.3. where the instrument used did not flag a H/H check fail, i thought it was too agressive to do a plasma replacement. If anything, perhaps the possibility of cold agglutinin. the mlt claims she did the plasma replacement because the sample was icteric. i disagreed. What could be the cause of an H/H that elevated.. with the values indicated?
Sat, 14 Dec 2013
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HI
Thank for asking to HCM
I think that working in medical field so you are having such ideas which are not logical are not allowed on medical ground this is the iron deficiency and can be treated with the iron therapy alone will give result, but before this the other possibilities of disease has to be ruled out which may be the reason of the low indices have nice day.
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Is Plasma Replacement Required In Case Of Elevated MCHC And Hemoglobin As Shown In CBC Report?

HI Thank for asking to HCM I think that working in medical field so you are having such ideas which are not logical are not allowed on medical ground this is the iron deficiency and can be treated with the iron therapy alone will give result, but before this the other possibilities of disease has to be ruled out which may be the reason of the low indices have nice day.