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Essay On Blood Loss

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In acute care settings all across the United States, medical advancements have taken the field of critical care health treatment, of the most vulnerable of patients, to staggering levels of success through innovative laboratory diagnostics. These advancements in the clinical environment have changed the timing of awareness in change of patient condition and have ultimately led to more positive patient outcomes. While diagnostic testing procedures and policies are continuously being reevaluated, certain smaller policies and procedures in the critical care environment are often overlooked. In this evidence based project analysis, the purpose is to evaluate if utilizing the first drop of blood, rather than the second drop of blood, is as…show more content…
Also, diabetes is a main factor in kidney disease. “In diabetic patients with end-stage renal disease, erythrocyte lifespan tends to be decreased” (Sivaraman, Patel & Weissman, 2016). Therefore, it is not only crucial but a matter of life and death to keep the maximum amount of blood inside the patient’s body. This analysis will help reduce blood loss in the statistical majority of patients who need every drop of blood they can keep. When blood glucose testing is employed in the critical care environment, it can be performed sometimes up to 10 to 15 times a day. While at face value this does not seem like a lot of blood. A significant amount of blood per day cumulatively is being wasted by the second drop of blood policy. The case study performed by the Journal of Emergency Nursing found that there are several factors that can affect the accuracy of blood sugar testing, and whether it is effective to use the first drop. In cases where patients’ hands are washed with soap and water before providing the sample, there was little significant difference between the value of the first and second drop. If a person does not have washed hands, and there is a possibility of dirt or glucose present on the fingers, the second drop is going to be more accurate (Palese, 2016). There is also a concern that “the first drop could contain more interstitial fluid … dilution of the first drop of blood with
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