THERAPEUTIC PHLEBOTOMY PHYSICIAN ORDER Patient Information: Name: Date of Birth: Address: Primary Phone Number: Secondary Phone Number: Phlebotomy fees are WAIVED for ALL patients with confirmed Hereditary Hemochromatosis or for Testosterone Replacement Therapy. /SMask /None>> Prior to phlebotomy, your blood pressure, pulse and hemoglobin (If not recently performed by MHS Laboratory) will be checked. The purpose of hydration is replacement of some of the fluid volume removed as the procedure is performed. �U(7�Ye��J endobj Patients may be bruised. THERAPEUTIC PHLEBOTOMY FLOWSHEET Time Time Amount Time Time Amount Time left Infusion. Appropriate Maximum Phlebotomy Volumes Purpose: To provide a guideline for performing safe phlebotomy procedures on our neonate, infant and pediatric population. Therapeutic phlebotomy takes about 500 ml of blood or less. >> According to guidelines from the Hemochromatosis Management Working Group (Barton et al, 1998), therapeutic phlebotomy should be initiated in men with serum ferritin levels of 300 ug/L or more and in women with serum ferritin levels of 200 ug/L or more, regardless of the presence or absence of symptoms. /Filter /FlateDecode Health workers may receive needle-stick injuries. ��@��EjD����w�|(�X���)�*�" ���B.������ diagnosis for most patients. 6) 139.500000 0] This is a condition called hemochromatosis. /Producer (�� Q t 4 . /Type /Page As a result, oncology nurses often are required to care for these patients. << endobj
>> Its used to make hemoglobin, which oxygenates your cells. Start performing a therapeutic phlebotomy with the GenesisBPS line of products. /SA true 15 0 obj In hemochromatosis, therapeutic phlebotomy is a procedure that removes blood from a person’s body with the specific goal of reducing iron overload.Therapeutic phlebotomy involves the same procedure as blood donation; the primary difference is the frequency of how often we give blood. /MediaBox [0 0 612 792] Therapeutic phlebotomy (TP) is often requested for patients with testosterone-induced polycythemia to lower the hematocrit, at least as a temporary measure while adjusting the dose of medication. x���n�H�݀���E�!��1X��xNjx'��[�EI�R�B����oUu7��A G&���w��W����� 1 0 obj The World Health Organization has issued practice guidelines for nurses who draw blood, which is referred to as phlebotomy. Phlebotomy uses large, hollow needles to remove blood specimens for lab testing or blood donation. If you can, it’s helpful to drink more liquids than usual before your therapeutic phlebotomy procedure. /SM 0.02 /Contents 12 0 R When you have too much iron in your blood, it can cause damage to … To perform a therapeutic phlebotomy with supplies from the Blood Bank: Position the blood pressure cuff on the patient’s arm in a fashion to avoid dragging the tubing over the venipuncture site. /F6 6 0 R <>
endobj Your body needs a certain amount of iron. << Common examples of such condi-tions are hemochromatosis and polycythemia. Therapeutic phlebotomy was one of them. WHO intends these guidelines to help improve outcomes for health care providers and their patients, to share information about the risks associated with drawing blood, to increase safe practices, and to reduce blood-borne virus exposure and transmission. He may remove up to 1 pint of blood. /XObject << x��}K�,�q�E����0.��/#���teA�#x�������ɈdUw�眙3�h`O�7�� o#�������v�ů����m����yqך��߅��\�]��/�������˷�o_~��{����
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