DONE Hematological Assessment, Disorders, and Blood Transfusion: 9 questions- Dr. Larkin Flashcards
Recognizing clinical manifestations of iron-deficiency anemia
Hypoxia
Fatigue
Pallor
Tachycardia
Tachypnea
Glossitis (inflamed tongue)
Koilonychias (nail deformity)
Client education- vitamin B12 anemia
encourage clients to eat?
Encourage client to eat:
Meat
Seafood
Eggs
Dairy products
B12 injections
Nursing interventions for a client during a sickle cell crisis
IV fluids
Supplemental oxygen
Pain medication
Client education for a patient with sickle cell anemia
avoid? 4
Avoid:
cold temps.
high altitude
dehydration
overexertion
Maintain Activities of daily living
Risk of crisis during pregnancy
Fetal complications
Genetic counseling
Blood donation and acceptance
O is a universal donor!!
AB can give to AB
A can give to A and AB
B can give to B and AB
O can give to AB, A, B
Nurse responsibility and general precautions for administering blood (pRBCs)
Only add NORMAL SALINE no other solution
No medications should be added or piggybacked
Blood MUST be administered ASAP (w/in 20-30 mins) after receiving form blood banks
Assess VS and lung sounds before infusion, then after the first 5 minutes and q 30-60 mins (per policy) until 1 hour after transfusion
To avoid the risk of septicemia, infusions should run between 2-4 hours for pRBCs; only 1 unit should be given at a time!!!!!
Blood tubing should be changed between each unit of blood
Clinical judgment and nursing actions for a blood transfusion reaction
- Stop the infusion!!!!!!
- Change the IV tubing down to the IV site and keep the IV line open w normal saline
- Notify provider and blood bank
- Stay w client, observing cues and monitoring VS q5 minutes
- Prepare to administer emergency medications as prescribed
- Obtain urine specimen and any other specimen ordered
- Return blood bag, tubing, attached labs, and transfusion record to the blood blank
- Document occurrence and clients response
