Wednesday, August 10, 2011

#AskDrKK: How to prevent hospital acquired anemia?

#DrKKAnswers: For patients hospitalized with an acute heart attack for every 50 mL of blood drawn, the risk of developing moderate-to-severe anemia in the hospital rises  by 18%.

It is possible to reduce this risk by
1.       Reviewing the necessity for routine vein puncture
2.       Reducing the volume of blood obtained during a hospitalization.
3.       Enlisting the minimum amount of blood required for each test
4.       Limiting scheduled phlebotomy
5.       Using pediatric blood tubes for blood collection
6.       Using 2 or 5 ml syringes instead of 10 ml syringes
7.       Using stored serum specimens or storing the first sample of the patient till the day of hospitalization.
8.       Rationalization of the routine testing   
Hospital-acquired anemia in patients with acute heart attack is associated with poorer outcomes including higher mortality. 

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