During an assessment of a client experiencing acute hemorrhage and blood loss anemia, the nurse expects to find Tachycardia.
Hemolysis or hemorrhage, which produces a sudden decrease in RBCs, is the major cause of acute anemia. Hemoglobin levels of 7 to 8 g/dL are typically symptomatic when the decline is abrupt since the body doesn't have enough time to make up for the lost volume. Due to reactive vasospasm and realignment of blood flow, healthy people may endure a 20% reduction in blood volume without experiencing any noticeable symptoms. Patients experience the symptoms and indicators of hypovolemia as their losses increase.
Clinical symptoms of anemia include postural hypotension, altered mental status, chilly and/or clammy skin, tachycardia, and hyperventilation. Compensatory processes, such as redistribution of blood flow, are no longer sufficient to maintain blood pressure. Due to the simultaneous loss of red cells and plasma after acute bleeding, hemoglobin and hematocrit levels may be normal; however, this is only visible after the patient's plasma volume has been restored, either naturally or with intravenous fluids.
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