Iatrogenic Anemia in Vulnerable Patients
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Questions and Answers

Which group of patients is most susceptible to phlebotomy-induced iatrogenic anemia?

  • Patients with diabetes
  • Patients with cardiovascular disease
  • Older adult patients, pediatric patients, and patients who are underweight (correct)
  • Obese patients
  • What is the main reason older adult patients can be at higher risk of iatrogenic anemia?

  • Increased blood volume
  • Decreased nutritional intake
  • Suppressed bone marrow production due to medications (correct)
  • Difficulty with venipuncture
  • Why are infants, especially those who are premature or had a low birth weight, at risk of iatrogenic anemia?

  • Due to a lower volume of blood (correct)
  • Due to a higher volume of blood
  • Due to a lower red blood cell count
  • Due to a higher hemoglobin level
  • What is the recommended percentage of total blood volume that can be collected within a 24-hour period for pediatric or critically ill patients?

    <p>1% to 5%</p> Signup and view all the answers

    What is the recommended percentage of total blood volume that can be collected over an 8-week period for pediatric or critically ill patients?

    <p>10% of total blood volume</p> Signup and view all the answers

    How can you calculate infant blood volume?

    <p>Divide the infant's weight in pounds by 2.2</p> Signup and view all the answers

    What should you do if you have a venipuncture request that seems excessive?

    <p>Check with the nurse or provider to ensure that the patient will not be put at risk</p> Signup and view all the answers

    What can the provider do to reduce the risk of iatrogenic anemia?

    <p>Order different tests, reduce the number of tests, or order only the most essential tests</p> Signup and view all the answers

    Why is it important to communicate with the healthcare professional about blood collection?

    <p>To ensure that the patient will not be put at risk of iatrogenic anemia</p> Signup and view all the answers

    What can increase the risk of iatrogenic anemia in patients with cancer?

    <p>The cancer treatments and the effect of the disease on the body</p> Signup and view all the answers

    What is the primary cause of iatrogenic anemia?

    <p>Blood loss due to repeated venipunctures in a short period of time</p> Signup and view all the answers

    Which of the following patients is NOT at high risk of phlebotomy-induced iatrogenic anemia?

    <p>Patients who are overweight</p> Signup and view all the answers

    What is a reason why older adult patients can be at higher risk of iatrogenic anemia?

    <p>They take medications that can suppress bone marrow production</p> Signup and view all the answers

    How should blood specimen collection be limited for pediatric or critically ill patients?

    <p>Up to 1% to 5% of total blood volume within a 24-hour period</p> Signup and view all the answers

    What is the first step in calculating infant blood volume?

    <p>Divide the infant's weight in pounds by 2.2</p> Signup and view all the answers

    What should you do if you have a venipuncture request that seems excessive?

    <p>Check with the nurse or provider to ensure the patient will not be put at risk</p> Signup and view all the answers

    Why is it important to communicate with the healthcare professional about blood collection?

    <p>To ensure the patient is not put at risk of iatrogenic anemia</p> Signup and view all the answers

    What can the provider do to reduce the risk of iatrogenic anemia?

    <p>Order different tests, reduce the number of tests, or order only the most essential tests</p> Signup and view all the answers

    Which of the following is a consequence of iatrogenic anemia?

    <p>None of the above</p> Signup and view all the answers

    What is the primary goal of understanding volume requirement calculations?

    <p>To prevent iatrogenic anemia</p> Signup and view all the answers

    Iatrogenic anemia is a result of blood transfusions.

    <p>False</p> Signup and view all the answers

    Older adult patients are at higher risk of iatrogenic anemia due to their age alone.

    <p>False</p> Signup and view all the answers

    Patients who are underweight are at a lower risk of phlebotomy-induced iatrogenic anemia.

    <p>False</p> Signup and view all the answers

    Infants who are premature or had a low birth weight have a higher volume of blood.

    <p>False</p> Signup and view all the answers

    Blood specimen collection should be limited to 10% of total blood volume within a 24-hour period for pediatric or critically ill patients.

    <p>False</p> Signup and view all the answers

    To calculate infant blood volume, you should convert the infant's weight from kilograms to pounds.

    <p>False</p> Signup and view all the answers

    The primary goal of understanding volume requirement calculations is to reduce the risk of iatrogenic anemia.

    <p>True</p> Signup and view all the answers

    A patient who has cancer is at a lower risk of developing iatrogenic anemia.

    <p>False</p> Signup and view all the answers

    The recommended percentage of total blood volume that can be collected over an 8-week period for pediatric or critically ill patients is 1% to 5%.

    <p>False</p> Signup and view all the answers

    The provider can order more tests to reduce the risk of iatrogenic anemia.

    <p>False</p> Signup and view all the answers

    Study Notes

    Iatrogenic Anemia Risk Factors

    • Older adult patients, pediatric patients, and underweight patients are most susceptible to phlebotomy-induced iatrogenic anemia.
    • Older adult patients are at higher risk due to medications that can suppress bone marrow production, decreasing nutritional intake, and experiencing extreme weight loss.
    • Cancer patients are at higher risk due to cancer treatments and the disease's effect on the body.

    Blood Volume Calculation for Infants

    • Calculate infant blood volume by converting weight from pounds to kilograms.
    • Divide pounds by 2.2 to convert to kilograms.

    Blood Specimen Collection Guidelines

    • Limit blood specimen collection to 1% to 5% of total blood volume within a 24-hour period.
    • Limit blood specimen collection to 10% of total blood volume over an 8-week period for pediatric or critically ill patients.

    Preventing Iatrogenic Anemia

    • Communicate concerns with healthcare professionals if a venipuncture request seems excessive.
    • Check with the nurse or provider to ensure the patient will not be put at risk.
    • Contact the provider if the medical requisition requires blood tests that will collect more than the recommended amount.
    • The provider can order different tests, reduce the number of tests, or order only the most essential tests.

    Iatrogenic Anemia Risk Factors

    • Older adult patients, pediatric patients, and underweight patients are most susceptible to phlebotomy-induced iatrogenic anemia.
    • Older adult patients are at higher risk due to medications that can suppress bone marrow production, decreasing nutritional intake, and experiencing extreme weight loss.
    • Cancer patients are at higher risk due to cancer treatments and the disease's effect on the body.

    Blood Volume Calculation for Infants

    • Calculate infant blood volume by converting weight from pounds to kilograms.
    • Divide pounds by 2.2 to convert to kilograms.

    Blood Specimen Collection Guidelines

    • Limit blood specimen collection to 1% to 5% of total blood volume within a 24-hour period.
    • Limit blood specimen collection to 10% of total blood volume over an 8-week period for pediatric or critically ill patients.

    Preventing Iatrogenic Anemia

    • Communicate concerns with healthcare professionals if a venipuncture request seems excessive.
    • Check with the nurse or provider to ensure the patient will not be put at risk.
    • Contact the provider if the medical requisition requires blood tests that will collect more than the recommended amount.
    • The provider can order different tests, reduce the number of tests, or order only the most essential tests.

    Iatrogenic Anemia Risk Factors

    • Older adult patients, pediatric patients, and underweight patients are most susceptible to phlebotomy-induced iatrogenic anemia.
    • Older adult patients are at higher risk due to medications that can suppress bone marrow production, decreasing nutritional intake, and experiencing extreme weight loss.
    • Cancer patients are at higher risk due to cancer treatments and the disease's effect on the body.

    Blood Volume Calculation for Infants

    • Calculate infant blood volume by converting weight from pounds to kilograms.
    • Divide pounds by 2.2 to convert to kilograms.

    Blood Specimen Collection Guidelines

    • Limit blood specimen collection to 1% to 5% of total blood volume within a 24-hour period.
    • Limit blood specimen collection to 10% of total blood volume over an 8-week period for pediatric or critically ill patients.

    Preventing Iatrogenic Anemia

    • Communicate concerns with healthcare professionals if a venipuncture request seems excessive.
    • Check with the nurse or provider to ensure the patient will not be put at risk.
    • Contact the provider if the medical requisition requires blood tests that will collect more than the recommended amount.
    • The provider can order different tests, reduce the number of tests, or order only the most essential tests.

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    Description

    This quiz covers the causes and risks of iatrogenic anemia in older adults, pediatric patients, and underweight individuals. Learn about the role of phlebotomy, medications, and nutrition in increasing the risk of anemia in these populations.

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