Elevated Plasma Viscosity (Guidelines) | Right Decisions

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ADULT THERAPEUTIC GUIDELINES
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HAEMATOLOGY
Elevated Plasma Viscosity (Guidelines)

Update your RDS mobile app to v4.7.2 to download toolkits even when website is down.

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.

Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Audience

Highland HSCP

Causes

Infection
Inflammation e.g. autoimmune disease, polymyalgia rheumatica
Raised fibrinogen concentration
Malignancy
Increased immunoglobulins, polyclonal or clonal
Myeloma or lymphoma
Trauma
Sarcoid

History and examination

Evaluate for any infective cause and look for any signs or symptoms of autoimmune disease. Ask about night sweats, bone pains and weight loss. Examine for lymphadenopathy and splenomegaly. Look at older blood results.

Suggested investigations

Full blood count and blood film
Autoimmune screen if appropriate or suggestive
Tests for infective aetiology
Calcium
Immunoglobulins and serum protein electrophoresis
If no obvious cause consider chest radiograph and abdominal imaging

Management

This depends on the underlying cause and degree of suspicion. If there are no results or features to suggest haematological malignancy we do not review patients with an elevated PV.

Last reviewed: 29/01/2024

Next review date: 31/01/2027

Author(s): Haematology Department .

Version: 2

Approved By: APPROVED TAM Subgroup of the ADTC

Reviewer name(s): Dr P Forsyth, Consultant Haematologist .

Document Id: TAM619