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
Hauptverfasser: Dech, Z F, Szaflarski, N L
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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.
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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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