Altered Fluid Balance Flashcards
What are the normal value for blood?
Hb: 13-18 g/dl (male)
11.5-15 g/dl (female)
INR:
What are the immediate priorities of care for a pt with episodes of haematemesis?
Oxygen (nasal specs 6l)
Fluids (fluid resuscitation, crystalloyds, wide bore cannula)
Airway management (risk of aspiration, recovery position, suction)
Check bloods
Blood transfusion (crash bloods O-, “code red”-4 units cross matched)
Get help
Regular monitoring
What are the pre transfusion checks required to ensure safe administration of a blood transfusion?
Pts identity is correct Blood matches the order Checked by 2 people independently "Right blood, right pt, right time" Consent and explanation is conscious Check expiry date Check line is patent Check blood looks ok (don't use if dusky, bubbly, clumpy) Put up within 30 mins, use within 4 hrs
What observations should be undertaken for a pt before, during and following a blood transfusion?
Heart rate Temperature Blood pressure Respiratory rate Oxygen SATs
What should you do if a pt has a reaction during a blood transfusion?
Stop transfusion immediately and disconnect
High urea and creatinine=
AKI due to lack of perfusion
Low albumin=
Liver not producing enough