Nursing strategies to minimize blood loss associated with phlebotomy
Blood loss associated with phlebotomy is significant in critically ill adults. Iatrogenic anemia may result and impose unnecessary stress on the cardiovascular and respiratory systems and may require allogeneic blood transfusions. Many strategies exist under nursing's direct control to decrease...
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Veröffentlicht in: | AACN clinical issues 1996-05, Vol.7 (2), p.277-287 |
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description | Blood loss associated with phlebotomy is significant in critically ill adults. Iatrogenic anemia may result and impose unnecessary stress on the cardiovascular and respiratory systems and may require allogeneic blood transfusions. Many strategies exist under nursing's direct control to decrease blood loss associated with phlebotomy. In the past, nursing effectively implemented many of these strategies in patients at high risk of anemia, such as pediatric, neonatal, transplant, or chronic renal failure patients, as well as patients who are Jehovah's Witnesses. Implementation of these strategies are needed for all critically ill patients because allogeneic blood transfusions carry infectious risk and because complications and chronic critical illness cannot be predicted reliably. Incorporation of these strategies into daily practice as well as the development of blood conservation programs represent imminent challenges for nursing. |
doi_str_mv | 10.1097/00044067-199605000-00010 |
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Iatrogenic anemia may result and impose unnecessary stress on the cardiovascular and respiratory systems and may require allogeneic blood transfusions. Many strategies exist under nursing's direct control to decrease blood loss associated with phlebotomy. In the past, nursing effectively implemented many of these strategies in patients at high risk of anemia, such as pediatric, neonatal, transplant, or chronic renal failure patients, as well as patients who are Jehovah's Witnesses. Implementation of these strategies are needed for all critically ill patients because allogeneic blood transfusions carry infectious risk and because complications and chronic critical illness cannot be predicted reliably. 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Iatrogenic anemia may result and impose unnecessary stress on the cardiovascular and respiratory systems and may require allogeneic blood transfusions. Many strategies exist under nursing's direct control to decrease blood loss associated with phlebotomy. In the past, nursing effectively implemented many of these strategies in patients at high risk of anemia, such as pediatric, neonatal, transplant, or chronic renal failure patients, as well as patients who are Jehovah's Witnesses. Implementation of these strategies are needed for all critically ill patients because allogeneic blood transfusions carry infectious risk and because complications and chronic critical illness cannot be predicted reliably. Incorporation of these strategies into daily practice as well as the development of blood conservation programs represent imminent challenges for nursing.</description><subject>Adult</subject><subject>Anemia - etiology</subject><subject>Anemia - prevention & control</subject><subject>Blood Specimen Collection - adverse effects</subject><subject>Blood Specimen Collection - methods</subject><subject>Blood Transfusion - utilization</subject><subject>Critical Care</subject><subject>Humans</subject><subject>Nursing</subject><subject>Phlebotomy - adverse effects</subject><subject>Phlebotomy - methods</subject><subject>Transfusion Reaction</subject><issn>1079-0713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1PwzAMhnMAjTH4CUg5cSs4bZqPIxowkCa4wDlKW3cLapfRpELj1xPY2MGybL-vbT2EUAY3DLS8BQDOQciMaS2gTGWWgsEJmTKQOgPJijNyHsJH6pZC5RMyUZKpQukpuX8Zh-A2KxriYCOuHAYaPe3dxvXuG2nVed_QzodAbQi-dknU0C8X13S77rDy0fe7C3La2i7g5SHPyPvjw9v8KVu-Lp7nd8uszvMyZgWDphSVbVrb1lUpmJIcUEiONZZa6JzJWlWttsi5ELq1vOQNyMqqNEDQxYxc7_duB_85Yoimd6HGrrMb9GMwUuVSaA1JqPbCekifD9ia7eB6O-wMA_MLzfxDM0do5g9asl4dboxVj83ReCBW_AB31mpd</recordid><startdate>199605</startdate><enddate>199605</enddate><creator>Dech, Z F</creator><creator>Szaflarski, N L</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199605</creationdate><title>Nursing strategies to minimize blood loss associated with phlebotomy</title><author>Dech, Z F ; Szaflarski, N L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c225t-310d56badfafcb5618740e674ece5969217c8bf9ae44669fa454d07ba817ce093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Anemia - etiology</topic><topic>Anemia - prevention & control</topic><topic>Blood Specimen Collection - adverse effects</topic><topic>Blood Specimen Collection - methods</topic><topic>Blood Transfusion - utilization</topic><topic>Critical Care</topic><topic>Humans</topic><topic>Nursing</topic><topic>Phlebotomy - adverse effects</topic><topic>Phlebotomy - methods</topic><topic>Transfusion Reaction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dech, Z F</creatorcontrib><creatorcontrib>Szaflarski, N L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>AACN clinical issues</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dech, Z F</au><au>Szaflarski, N L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nursing strategies to minimize blood loss associated with phlebotomy</atitle><jtitle>AACN clinical issues</jtitle><addtitle>AACN Clin Issues</addtitle><date>1996-05</date><risdate>1996</risdate><volume>7</volume><issue>2</issue><spage>277</spage><epage>287</epage><pages>277-287</pages><issn>1079-0713</issn><abstract>Blood loss associated with phlebotomy is significant in critically ill adults. Iatrogenic anemia may result and impose unnecessary stress on the cardiovascular and respiratory systems and may require allogeneic blood transfusions. Many strategies exist under nursing's direct control to decrease blood loss associated with phlebotomy. In the past, nursing effectively implemented many of these strategies in patients at high risk of anemia, such as pediatric, neonatal, transplant, or chronic renal failure patients, as well as patients who are Jehovah's Witnesses. Implementation of these strategies are needed for all critically ill patients because allogeneic blood transfusions carry infectious risk and because complications and chronic critical illness cannot be predicted reliably. Incorporation of these strategies into daily practice as well as the development of blood conservation programs represent imminent challenges for nursing.</abstract><cop>United States</cop><pmid>8718389</pmid><doi>10.1097/00044067-199605000-00010</doi><tpages>11</tpages></addata></record> |
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source | MEDLINE; Journals@Ovid Complete |
subjects | Adult Anemia - etiology Anemia - prevention & control Blood Specimen Collection - adverse effects Blood Specimen Collection - methods Blood Transfusion - utilization Critical Care Humans Nursing Phlebotomy - adverse effects Phlebotomy - methods Transfusion Reaction |
title | Nursing strategies to minimize blood loss associated with phlebotomy |
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