Working with a malaria patient... started an IV with the intent to draw blood at that same time. I placed the line but could aspirate just the scantest amount of blood.
To facilitate the q6h labs that were ordered, I offered to the patient the choice between a single stick for the due labs or placing a second line in a larger vessel to hopefully provide a line from which to obtain the upcoming specimens. I placed the line but had to coax enough blood for the T&S and H/H. It was highly atypical. It seemed almost as if the blood were very viscous.
I did a bit of research and found that malaria patients have very stiff RBCs which greatly reduces the laminar flow of blood.
I love learning new tidbits and offer up this nugget for those who do also.
bgxyrnf, MSN, RN
1,208 Posts
Working with a malaria patient... started an IV with the intent to draw blood at that same time. I placed the line but could aspirate just the scantest amount of blood.
To facilitate the q6h labs that were ordered, I offered to the patient the choice between a single stick for the due labs or placing a second line in a larger vessel to hopefully provide a line from which to obtain the upcoming specimens. I placed the line but had to coax enough blood for the T&S and H/H. It was highly atypical. It seemed almost as if the blood were very viscous.
I did a bit of research and found that malaria patients have very stiff RBCs which greatly reduces the laminar flow of blood.
I love learning new tidbits and offer up this nugget for those who do also.