Anemia Management

Anemia Management

Anemia is the primary reason a blood transfusion is given.  Preventing, detecting, and treating anemia are the most important factors to avoid the need for a blood transfusion and maintain optimum health. 

What is anemia?

Anemia is a below-normal level of hemoglobin in the blood. As a result of anemia, the blood cannot deliver enough oxygen to the rest of the body, causing fatigue and other symptoms. The most common form of anemia is iron deficiency anemia, although there are many other causes of anemia.

Symptoms of Anemia
Fatigue Headache
Depression Coldness in hands and feet
Pale skin Chest pain
Shortness of breath Rapid or irregular heartbeat
Dizziness Nausea


Know your risk

Studies reveal that 34 percent1 to 45.6 percent2 of patients have pre-operative anemia. Careful monitoring of blood draws, along with pre- and post-surgical anemia management, contributes to the prevention of anemia.

Factors that increase a patient's risk of anemia
Poor diet low in iron, vitamins, and minerals Being over age 65
Chronic infections Being a woman of childbearing age
Serious illness Being an infant younger than two years
Family history of inherited anemia (e.g., sickle cell anemia, thalassemia) Blood loss (e.g., due to surgery or injury, excessive blood draws, heavy menstrual periods)


Know your blood count

A simple blood draw can determine how healthy your blood is.

Normal hemoglobin and hematocrit ranges
Hemoglobin Hematocrit
Male  13 -17 g/dL    39 - 51%
Female  12 - 15 g/dL  36 - 45%


What you can do

Be alert to signs or symptoms of anemia. Ask your doctor to check your blood count. If your doctor says you are anemic, get information about increasing your blood count.

When you are anticipating surgery or having a baby, ask your Swedish physician about an anemia consult through Anemia Clinic at Swedish. An anemia consult is an assessment of your need for treatment of anemia. This consult is performed by a pharmacist. The information from the consult is sent to your doctor so that  a treatment plan tailored to your needs can be developed. This key service is a proactive approach to avoiding blood transfusions. It is best to have this evaluation completed 30 days before surgery, if possible,  or as early in pregancy as possible, so that any treatment recommend  for you will be most effective. Treatments include oral or intravenous medications, nutritional counseling and/or vitamin.

If you are over the age of 50, be sure to get a regular colon screening. This diagnostic procedure is helpful to determine if you have internal bleeding or cancer that may be causing anemia.

Additional information

National Anemia Action Council
Search MedlinePlus® to find authoritative consumer health information.
Búsqueda en MedlinePlus® para encontrar información oficial de salud al consumidor.

1. Dunne J, et al., Perioperative anemia: an independent risk factor for infection, mortality, and resource utilization in surgery. J Surg Res. 2002 Feb;102(2):237-44.
2. Gruson KI, Aharonoff GB, Egol KA, et al., The relationship between admission hemoglobin level and outcome after hip fracture. J Orthop Trauma 16 (2002), pp. 39-44.

Contact Information

Blood Management Program
500 17th Avenue
Seattle, WA 98122
Phone: 206-320-2358
Map & Directions

Zac Zahara
MBA, CQA (ASQ), manager

Jan Batt,
RN, BSN, coordinator

Dawn Peterson,
RN, BSN, coordinator

Harriette Lober,
Bloodless Program specialist

Department Directory
206-320-2358
Bloodless Program
206-320-8094
Toll-Free
888-662-4166
  • Cherry Hill
    500 17th Avenue, Room A93C
    Seattle, WA  98122
  • First Hill
    747 Broadway, Room NN-331
    Seattle, WA 98122