Haematology NP Flashcards
can medication be administered into the same tubing as blood products
no
for how long must the blood product be administered to the pt + why
blood pack must be hung within 30min and transfuse completely within 4hrs
to prevent bacterial proliferaetion that may occur in the blood component at room temperature
for how long should pt be monitor for signs of transfusion reaction post transfusion
24hrs
how long can GXM last
72hrs
vital signs monitoring frequency for blood transfusion
- onces prior to infusion
- 15min after infusion begin
- 30/60min according to hospital policy until infusion is complete
what is the 2 type of administration set for blood transfusion
- straight set (for all transfusion)
- y-type set (should only be considered where additional fluid vol. may be required)
what is the duration for monitoring signs of transfusion reaction upon administration
stay at pt’s bedside for 5-15 min to monitor for
- tmp
- HR
- BP
- o2 sat
- RR
what is the management of transfusion reaction (8)
- stop transfusion immediatly
- inform dt
- monitor vital signs q15min until stable
- return blood product & IV tubing to blood bank for further testing
- notify blood bank when a/e occur
- obtain blood and urine sample ASAP to help identify the type of blood transfusion reaction
- documentation
- keep IV line open w 0.9% saline (use a new IV set) for emergency medication if required
what is the purpose of filtering the blood compenents prior to administration
to remove clots and small clumps of platelets & WBCs that form during collection & storage
what is the solution to prime IVIG (IV immunoglobulin)
D5%
IVIG is only compatible w IVIG
what is the solution to prime RBC
0.9% NS
when should the blood tubing be change (2)
every 4hr or every 4 unit (4 pack)
