Platelet Count: Frequently Asked Questions
What is a normal platelet count?
Normal platelet counts range from 150,000 to 400,000 platelets per microliter. People with severe cases of ITP have platelet counts under 10,000. About 30,000 platelets per microliter of blood is considered a ‘safe count,’ one that is high enough to protect against bleeding in the brain in most cases.
Source: www.itppeople.com
Normal platelet counts range from 150,000 to 400,000 per microliter of blood. People with platelet counts under 10,000 have a severe case of ITP. For many, a count of 30,000 is sufficient to prevent a catastrophic bleed.
Source: www.pdsa.org
The platelet count in a healthy person is between 150,000 – 450,000 platelets per micro liter of blood, although a count of 30,000 – 50,000 is enough to prevent bleeding in all but the most severe injuries or during surgery. The lower the platelet count, the higher the risk of bleeding. Platelet counts lower than 10,000 generally require immediate treatment and should be considered emergencies.
Source: www.pdsa.org
The normal range for a child is 150,000-400,000 platelets per microliter.
Source: www.childrenscbf.org
The normal range is 150,000-400,000 platelets per microliter. In general, a count of 30,000-50,000 platelets per microliter is sufficient to prevent bleeding.
Source: www.childrenscbf.org
Is there a minimum platelet count required to nurse safely?
Breast-feeding can be safely accomplished following pregnancies complicated by ITP or gestational thrombocytopenia. There is concern among some physicians because anti-platelet antibodies can be passed to the newborn in the colostrum of ITP mothers. However, there is no evidence that children breast-fed by ITP mothers are at elevated risk.
Source: www.itppeople.com
What is the increase in a patient's platelet count after transfusion of one unit of platelets?
All but approximately 50mL of plasma are expressed off to form the plasma concentrate. The remaining 50-mL is the newly formed platelet concentrate that contains approximately 5.5 to 7.0 x 10 10 platelets. Each unit will increase the platelet count by an increment of approximately 10,000/ľL, which is not sufficient to provide a significant platelet increment in the patient. Routine practice advocates the administration of 8 - 10 platelet concentrates that have been pooled. ...
Source: www.hartnell.cc.ca.us
All but approximately 50mL of plasma are expressed off to form the plasma concentrate. The remaining 50-mL is the newly formed platelet concentrate that contains approximately 5.5 to 7.0 x 10 10 platelets. Each unit will increase the platelet count by an increment of approximately 10,000/ľL, which is not sufficient to provide a significant platelet increase in the patient. Routine practice advocates the administration of 8 - 10 platelet concentrates that have been pooled. ...
Source: www.hartnell.cc.ca.us
Is there a platelet count to maintain during pregnancy to protect mother, fetus?
There is a consensus that at a platelet count of 50,000 ppm or greater both mother and fetus are safe. Most physicians will not treat ITP during pregnancy if the platelet count remains at or above this level. In fact many physicians consider a platelet count above 20,000 ppm safe during pregnancy, but most want it above 50,000 ppm near term and between 80,000 ppm and 100,000 ppm for an epidural anesthesia.
Source: www.pdsa.org
How long should pass before a valid platelet count can be measured post transfusion?
valid post-transfusion platelet count cannot be performed sooner that 6 hours after the completion of an active bleeding episode.
Source: www.hartnell.cc.ca.us
If a child is born with low platelets, what treatments are used to maintain a safe platelet count?
The most frequently used treatment to increase the platelet count in the newborn is IVIG. Corticosteroids are also used and more recently WinRho SDF ® in a small number of cases. If a newborn is thrombocytopenic and has a low Apgar (a test administered to all infants at birth to evaluate: a ctivity, p ulse, g rimace, a ppearance, and r espiration) or any indication of a neurologic event, other tests would be performed.
Source: www.itppeople.com
In addition to a low platelet count, I’m tired. Is this a normal part of the disease?
Many people with ITP find they have a problem with fatigue. However, the cause of this fatigue is not well understood. In addition to general fatigue that may be associated with being ill, the treatments for ITP can contribute to fatigue by disrupting the sleep cycle and placing other types of stress on the body.
Source: www.itppeople.com
Is a platelet count considered a standard of care before routine neuraxial analgesia for labor?
To answer the question about obtaining platelet counts prior to neuraxial analgesics in laboring patients, the ASA Practice Guidelines for Obstetric Anesthesia are a good resource and can be found at the following website: http://www.asahq.org/publicatio nsAndServices/practiceparam .htm#ob Recommendations. A specific platelet count predictive of neuraxial anesthetic complications has not been determined. ...
Source: www.soap.org
You discussed the platelet count and the blood smear in the diagnosis of HPS. What about the white blood cell count (WBC) count and hematocrit. Are they helpful?
Thrombocytopenia, left shift of the myeloid series, and appearance of immunoblasts are consistent findings in almost all HPS patients. The total white cell count is quite variable, ranging from as low as 2,800 during prodrome, to over 100,000 /mm-3 in some severe HPS cases. The elevation of the WBC is not an accurate indicator of severity. ...
Source: www.enotalone.com
I have ITP (idiopathic thrombocytopenic purpura). I was diagnosed with this because of my low platelet count. Is there anything that can be done so I won’t have to take steroids?
Yes, laparoscopic splenectomy can be done relatively easily, and can be extremely effective in the right setting to eliminate ITP. 4.
Source: www.brucefreedmanmd.com

