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©2013 UpToDate ® Print Email Algorithm for management of neonatal polycythemia The management approaches outlined in this algorithm are based primarily upon expert opinion. There is insufficient evidence to fully assess the efficacy or safety of partial exchange transfusion (PET), or the clinical indications for this procedure. * Refer to table on Causes of neonatal polycythemia. Δ Observation consists of: monitor intake, weight, and urine output; follow up blood glucose as indicated based on initial results; monitor for symptoms. ◊ Preferred pathways in the authors' institution.