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dc.contributor.advisorRubarth, Lori B.en_US
dc.contributor.authorCarlson, Michelleen_US
dc.contributor.authorBaas Rubarth, Lorien_US
dc.contributor.authorKantola, Stephanieen_US
dc.contributor.authorMolin, Briannaen_US
dc.date.accessioned2014-07-30T20:35:24Z
dc.date.available2015-05-17T08:40:11Z
dc.date.issued2014-07-30
dc.identifier.urihttp://hdl.handle.net/10504/62585
dc.description.abstractPremature infants receive packed red blood cell (PRBC) transfusions to maintain a hemoglobin threshold, replace laboratory losses, or treat symptoms such as tachycardia, tachypnea, apnea, or growth failure (Kasat, Hendrickson-Munoz & Mally, 2011). There are no widely established parameters for PRBC transfusions in neonates, which leads to variations in practice. Some institutions have established unit specific guidelines, but the overall practice is based on the provider discretion. The development of an evidence-based practice guideline is intended to set a consistent, lower hemoglobin threshold at which neonates in the neonatal intensive care unit (NICU) receive PRBCs with a goal of decreasing the frequency of PRBC transfusions. Preventing short term and long term problems in the neonate is the ultimate desired outcome. This review will give an overview of the pathophysiology of the neonate receiving PRBCs, short and long term problems associated with neonatal PRBC transfusions, and restrictive versus liberal transfusion criteria. A retrospective chart review was performed describing the indications for patients that had received transfusions in the NICU at Mayo Clinic-Rochester during 2012. A Hemoglobin Threshold Transfusion Guideline was developed after extensive literature review.en_US
dc.rightsCopyright is retained by the Author. A non-exclusive distribution right is granted to Creighton Universityen_US
dc.subject.meshReference Standardsen_US
dc.subject.meshHemoglobinsen_US
dc.subject.meshBlood Transfusionen_US
dc.subject.meshInfant, Prematureen_US
dc.subject.meshGuidelines as Topicen_US
dc.titleDeveloping Evidence-Based Practice Guidelines for Neonatal Blood Transfusionsen_US
dc.typeManuscripten_US
dc.rights.holderMichelle Carlsonen_US
dc.rights.holderStephanie Kantolaen_US
dc.rights.holderBrianna Molinen_US
dc.description.noteManuscripten_US
dc.program.unitSchool of Nursing (1971 - July 2013)en_US
dc.program.unitCollege of Nursingen_US
dc.embargo.terms2015-05-17
dc.degree.levelMSNen_US
dc.degree.disciplineMaster of Science in Nursing (MSN) Degree Programen_US
dc.degree.nameMaster of Science in Nursingen_US


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