which patient finding does the nurse report to the health care provider before starting esa or t

Step 1: Identify the purpose of ESA (Erythropoiesis-Stimulating Agents) and TSA (Transfusion Sup

Which patient finding does the nurse report to the health...

Transcript

00:01 Okay, so you have a clinical case here.

00:02 You have a 65 year old woman that who is presenting to the office with complaints of excessive fatigue, shortness of breath, absent activity, which is abnormal for her.

00:11 The woman has a history of congestive heart failure with decreased kidney function within the last year.

00:15 The woman appears unusually tired and slightly pale.

00:18 Additional history and examination will show worsening heart failure, acute illness and worsening kidney disease.

00:24 The complete blood count results indicate that hemoglobin that is 9 .5 grams per deciliter, which is a new finding.

00:36 The hematocrit is 29%.

00:40 So both are low.

00:41 Then it says previous hemoglobin levels have been 11 to 13, so it is practically lower than before.

00:49 The patient's vital signs are temperature 98 .7.

00:52 There is fahrenheit heart rate of 92, so it is normal.

00:55 Respirations of 28 breaths per minute, so the respiratory rate is increased.

01:01 And the blood pressure is 138 over 72, so it is slightly increased.

01:08 It says the practitioner suspects the low hemoglobin level is related to the decline in kidney function and begins to address treatment related to the condition.

01:16 Should the practitioner consider a blood transfusion for this patient? explain your answer.

01:22 In this case, the patient has anemia.

01:27 This anemia is very likely to be because of the kidney dysfunction.

01:32 So when you have patients with anemia, it depends actually on the severity of the anemia in order to think about transfusion.

01:41 For example, if the hemoglobin level is significantly low and the patient is experiencing symptoms such as fatigue, insurance of breath, that can be attributed to the anemia, blood transfusion can be considered.

01:54 But in this case, the hemoglobin level is 9 .5.

01:58 In order to start blood transfusion, you usually need a threshold for hemoglobin, which is usually 8 for patients with cardiac conditions like this patient with heart failure.

02:09 But the hemoglobin is still higher than 8, so i wouldn't transfuse to this patient at this moment...

Question

which patient finding does the nurse report to the health care provider before starting ESA or TSA therapy? hemoglobin level 15 g/dl

Question

which patient finding does the nurse report to the health care provider before starting ESA or TSA therapy? hemoglobin level 15 g/dl

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