How Is Anemia Diagnosed? It can be diagnosed By using the tallquist method of estimation of haemoglobin. Sometime in ante-natal clinic or in mass screening of anaemia a nurse is required to do this test and help the doctor to approximately detect the cause of anaemia (Bloodlessness).
Equipment and Supplies Required
- Sterile hagedorn needle or blood lancet attached in a cork and kept in a container of spirit to cover the tip. _ If this needle is not available sterile IM needle of 20-22 size will serve the purpose. This needle should also be kept sterile in a clean and sterile vial containing spirit and the needle penetrating through its rubber cap to dip into the spirit.
- Cotton wool.
- Tallquist paper with colour scale.
- The paper and colour scale is marketed compact in form of small booklet
How Is Anemia Diagnosed:Procedure For Treating Anaemia
- Wash your hands and allow them to dry (not by wiping by towel) by shaking in air.
- Intimate the procedure to patient.
- Hold the individual’s finger usually the left hand’s middle or ring finger (never index finger or thumb). In case of infants the left big toe or heel can be used. Ear lobe is also used some times.
- Wipe the area to be pricked with spirit cotton swab and allow it to dry in air.
- Remove the needle from container. Shake off if there is any excess spirit adhering to needle point by jerking movement.
- Ask a sensitive or apprehensive patient not to look at the finger. Turn his/her head to other side so that he/she cannot see the pricking.
- By a quick and jabbing motion prick the area. The puncture should not be more than 3 mm deep.
- Squeeze the finger/toe until a large drop of blood appear. Blot this drop of blood onto a piece of tallquist paper.
- Place a piece of cotton wool moistened with spirit on the finger and ask the patient to keep it pressed with his thumb until bleeding stops.
- Compare the colour of the blood on the paper with the colour on the tallquist scale to determine the haemoglobin level.
- Record the reading and inform the doctor.
- Intimate the patient regarding the stool examination and collection so that he waits and arranges for collection.
- Give one bed pan for passing urine.
- Then give another clean bedpan for passing stool otherwise stool will be mixed with urine to give a wrong report.
- Take a small amount of stool with stick into a wide mouth jar or container and put the cap or cover.