title: Hemoglobin variability: managing the higher end of the target range.
abstract: Management of patients at both the lower and the upper ranges of the hemoglobin target range is crucial to ensuring optimal anemia-related outcomes in patients on dialysis. Nurses can be instrumental in helping to minimize the percentage of patients with hemoglobin levels above the target range through ongoing assessments of longitudinal trends, use of an anemia management protocol that integrates all aspects of care, and prompt adjustments in the Epoetin alfa dose when trend analysis reveals a risk of overshooting target levels.
authors.affiliation: Nephrology, Vanderbilt University Medical Center, Nashville, TN, USA.
authors.forename: Randee
authors.initials: R
authors.lastname: Breiterman-White
mesh_terms: D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood / Q000451:nursing; D008297:Male; D008875:Middle Aged; D012015:Reference Standards; D006435:Renal Dialysis
chemical_list: D006454:Hemoglobins