blood product administration keith rischer, rn. erythrocytes function normal life span norms hgb...
TRANSCRIPT
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Blood Product Administration
Keith Rischer, RN
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Erythrocytes Function Normal Life span Norms
Hgb– Women: 12-16 g/dl– Men: 13.5-18n g/dl
HCT– Women: 38-47%– Men: 40-54%
RBC– 4.0-5.0 mm3– 4.5-6.0 mm3
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Terms
Agglutinin Antigen Autologous donor ABO Rh
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General Overview
Types of blood products PRBC FFP Platelets Albumin
Indications specific to component
Importance of nursing role
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IV site Site Size
Verify MD order Establish baseline VS Consent signed Education
Transfusion history Report chills, dizziness or fever
Nursing Assessment: Pre-Transfusion
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Safety First
First check Double check
Blood type & Rh Patient name MR # Expiration date Unit # on compatibility
tag Both document
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Nursing Responsibilities
NS Prime tubing before
VS checks 15” Every hour infusing End
Volume in unit Rate of administration
½ hourly rate first 15” Observe first 15”
Document
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Complications
Fluid overload Lyte imbalances Hypothermia Thrombocytopenia
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Transfusion ReactionsFebrile Reaction Sudden onset of chills, fever, temp elevation
>1 degree C. headache, anxiety
Mild Allergic Reaction Flushing, urticaria, hivesAllergic
Acute Hemolytic Reaction Chills, fever, flushing, tachycardia, SOB,
hypotension, acute renal failure, shock, cardiac arrest, death
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Transfusion Reaction Responsibilities
STOP transfusion stat & disconnect Maintain IV site-disconnect from IV and flush
with NS Recheck ID Notify blood bank/MD Monitor VS Treat sx per MD orders Save bag and tubing-send to blood bank Document per policy