You get a page from a gastroenterologist asking for a consult for platelet transfusion prior to an elective colonoscopy scheduled for tomorrow. The patient is a 56yo male, with a history of ITP and HTN. This procedure is for screening purposes only and the patient has not had any melena, hematochezia, or rectal bleeding. Platelet count is 97 x 109 per liter and the rest of the CBC is within normal limits.
- Does this patient meet the platelet transfusion threshold?
- If so, how much would you transfuse?
- If you were worried about bleeding, what are the other tests you could order to assess platelet function?