Post on 03-Jan-2016
Blood Product Administration
Keith Rischer, RN
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
Terms
Agglutinin Antigen Autologous donor ABO Rh
General Overview
Types of blood products PRBC FFP Platelets Albumin
Indications specific to component
Importance of nursing role
IV site Site Size
Verify MD order Establish baseline VS Consent signed Education
Transfusion history Report chills, dizziness or fever
Nursing Assessment: Pre-Transfusion
Safety First
First check Double check
Blood type & Rh Patient name MR # Expiration date Unit # on compatibility
tag Both document
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
Complications
Fluid overload Lyte imbalances Hypothermia Thrombocytopenia
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
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