What clinical manifestation should a nurse assess for in a patient undergoing plasmapheresis?

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In the context of plasmapheresis, assessing a patient for numbness and tingling is particularly relevant because these sensations often signal neurological involvement and may indicate an imbalance of electrolytes or a reaction to the procedure itself. Plasmapheresis involves the removal of plasma from the blood, which can lead to alterations in serum electrolyte levels, particularly calcium, that might manifest as paresthesia or numbness and tingling in the extremities or around the mouth.

Monitoring for these symptoms allows healthcare providers to address potential complications promptly. In patients undergoing plasmapheresis, the removal of plasma can also lead to a decrease in proteins necessary for normal neurological function. Thus, the presence of numbness and tingling serves as a clinical indicator that warrants further evaluation and may require immediate intervention.

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