Management of Anemia by Severity
Click on a card to reveal the management plan.
Mild Anemia
Hb 10.0 - 12.9 g/dL

Usually managed in a primary care setting with a focus on investigation and oral therapies.

Management Plan
  • Setting: Outpatient / Klinik Kesihatan.
  • Urgency: Non-urgent.
  • Actions: Focus on thorough history, investigate cause (FBC, Iron/B12/Folate), and start oral replacement therapy.
Moderate Anemia
Hb 8.0 - 9.9 g/dL

Requires a more urgent workup. Admission may be considered if the patient is symptomatic or has comorbidities.

Management Plan
  • Setting: Urgent Outpatient or Admission.
  • Urgency: Urgent investigation.
  • Actions: Admit if symptomatic. Consider IV iron for faster correction or intolerance to oral meds.
Severe Anemia
Hb 6.5 - 7.9 g/dL

Warrants hospital admission for stabilization, potential transfusion, and aggressive investigation.

Management Plan
  • Setting: Hospital Admission.
  • Urgency: Inpatient Management.
  • Actions: Secure IV access. Transfuse if Hb < 7.0 g/dL or patient is symptomatic/unstable. Investigate cause urgently.
Life-Threatening
Hb < 6.5 g/dL

A medical emergency requiring immediate resuscitation and transfusion to prevent cardiovascular collapse.

Management Plan
  • Setting: Emergency Dept ➝ HDU/ICU.
  • Urgency: Medical Emergency.
  • Actions: Resuscitate (ABC). Transfuse immediately with cross-matched or emergency O-neg blood. Diagnosis is secondary to stabilization.