Infection and inflammation in dialysis patients: impact on laboratory parameters and anemia. Case study of the anemic patient.
Infection and inflammation trigger an acute-phase response that can precipitate the development of mild to moderate anemia. In many cases, changes in hematological parameters may be the initial sign of an occult infectious or inflammatory disorder. In dialysis patients, the decrease in erythropoiesis attributed to these conditions is often additive--aggravating the preexisting anemia associated with end-stage renal disease (ESRD). Nephrology nurses are in a unique position to conduct regular physical assessments and laboratory evaluations to proactively detect infection or inflammation and limit the short- and long-term impact of these conditions.
Szymanski
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DaVita TM, Wheaton Dialysis Center, Wheaton, MD, USA.
D000368:Aged; D018798:Anemia, Iron-Deficiency / Q000097:blood / Q000209:etiology* / Q000451:nursing; D015982:Bias; D003428:Cross Infection / Q000150:complications* / Q000451:nursing; D005260:Female; D005293:Ferritins / Q000097:blood; D006801:Humans; D017053:Infection Control; D007249:Inflammation / Q000150:complications* / Q000451:nursing; D007501:Iron / Q000097:blood; D007676:Kidney Failure, Chronic / Q000097:blood / Q000150:complications* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment; D015985:Precipitating Factors; D006435:Renal Dialysis / Q000009:adverse effects* / Q000451:nursing; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D014168:Transferrin / Q000378:metabolism
D014168:Transferrin; D005293:Ferritins; D007501:Iron