Document Detail

Epoetin alfa: focus on inflammation and infection. Case study of the anemic patient.
MedLine Citation:
PMID:  9801493     Owner:  NLM     Status:  MEDLINE    
Infectious and inflammatory disorders cause a disturbance in iron metabolism that leads to a sequestration of iron in the reticuloendothelial (R-E) system and a sometimes sharp and sudden decline in red blood cell indices. Underlying inflammatory conditions can decrease responsiveness to Epoetin alfa in dialysis patients and complicate anemia management. Understanding the possible infectious and inflammatory etiologies that can affect enemia management is essential to enhancing the nursing care of dialysis patients. Nurses caring for patients receiving Epoetin alfa must be aware of the possible effects of these conditions and know how to assess, detect, intervene, and evaluate factors that detract from an optimal erythropoietic response.
J K Chambers
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  ANNA journal / American Nephrology Nurses' Association     Volume:  25     ISSN:  8750-0779     ISO Abbreviation:  ANNA J     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-11-05     Completed Date:  1998-11-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8411466     Medline TA:  ANNA J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  353-6     Citation Subset:  N    
Grant/Riverside Methodist Hospitals in Columbus, OH, USA.
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MeSH Terms
Anemia / etiology*,  therapy*
Erythropoietin / therapeutic use*
Infection / complications*
Inflammation / complications*
Kidney Failure, Chronic / complications*
Nursing Assessment
Renal Dialysis / nursing
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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