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Blood Transfusions

Blood Transfusions. Blood products (p.731) PRBC’s Frozen PRBC’s Platelets FFP Albumin. Indications for Blood Products. Management of hematologic diseases Hemorrhagic conditions No blood substitutes. Safety of Blood Products. Screening of blood donors What if donor is not truthful?

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Blood Transfusions

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  1. Blood Transfusions • Blood products (p.731) • PRBC’s • Frozen PRBC’s • Platelets • FFP • Albumin

  2. Indications for Blood Products • Management of hematologic diseases • Hemorrhagic conditions • No blood substitutes

  3. Safety of Blood Products • Screening of blood donors • What if donor is not truthful? • Blood is tested by the collection agency • Locally-American Red Cross • Know blood type

  4. Equipment • IV site for blood product • Large bore needle (18-20 gauge) • Saline (never dextrose) • IV pump • Blood tubing • Has “Y” adaptor • Special filter • Use once

  5. Nursing Responsibilities • Patient knowledge base/permission • Religious preference • History of prior transfusions/reactions • Review MD orders • T&CM/lab • Blood band/red • Document

  6. More Responsibilities • Initiate IV site • Obtain Vital Signs prior to blood product • Obtain blood product from lab • Have second RN verify blood product • Monitor for reactions • Administer over 2-4 hours per MD order • Post administration VS

  7. During Administration of Blood Products • Stay with individual for the first 15 minutes • Observe IV site for complications • Should reaction occur-STOP transfusion • Give fluids in second IV site • Don’t flush remainder of blood in tubing into the patient

  8. Post Transfusion • Obtain VS • Document VS • Continue to monitor for complications • Assess for FVE • Prepare for second transfusion • Document

  9. Complications(Lewis p. 733) • Acute Hemolytic Reaction • Febrile non-hemolytic • Allergic reactions • Circulatory Overload • Sepsis

  10. Delayed Reactions(Lewis p.734) • Hepatitis B • Hepatitis C • Iron Overlaod

  11. Conclusions • Blood product administration is serious • Know your equipment • Be familiar with facility policy • Monitor the recipient • Document

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