fetal transfusion syndrome…

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twin-to-twin transfusion, fetal transfusion syndrome, rare condition that occurs only in identical twins, involves, transference of blood, one fetus, in the womb, in fetal transfusion syndrome, donor twin, born smaller, anemic, dehydrated the recipient twin is born larger, polycythemic, too much blood volume, increased blood pressure, infants, have problems depending on the severity, the transfusion, inadequate blood volume, from too much blood, donor twin, need a blood transfusion, recipient twin, need blood volume reduction, the increased blood volume, recipient twin, develop cardiac failure, require medications to strengthen heart function, unequal size of identical twins, discordant twins, pallor, paleness, smaller twin, plethora, redness, larger twin, the twins, receive the following tests, cbc to check hematocrit, chem-20 to evaluate electrolytes, pt, ptt, clotting studies, chest x-ray, goal of treatment, treat each child's problem, donor twin anemic enough to need a blood transfusion, recipient twin, have the volume of fluid reduced, involve a exchange transfusion, medications, furosemide, lasix, digitalis, digoxin, supportive treatment, a digoxin level tested at regular intervals, this medication is needed to treat heart failure, in the recipient twin, twin-to-twin transfusion is mild, full recovery is expected, babies, severe cases, death of a twin, condition, diagnosed at, shortly, the time of birth.