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    Blood Transfusion Therapy

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    joiadda santos

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    Blood Transfusion Therapy

    Uploaded by

    joiadda santos
    22 views2 pages

    Original Title

    BLOOD TRANSFUSION THERAPY

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    22 views2 pages

    Blood Transfusion Therapy

    Uploaded by

    joiadda santos

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    SANTOS,JOIADDA JOYCE M.

    BSN2A

    BLOOD TRANSFUSION THERAPY

    Purposes:
    1. To administer required blood component by the patient.
    2. To restore the blood volume.
    3. To improve oxygen-carrying capacity of the blood.

    Procedures:
    1. Verify doctor's order. Inform client and explain the the purpose of the procedure.
    -To achieve and maintain good health.

    -For the Patient will understand their health condition and what the proposed treatment is.

    2. Check for cross-matching and blood typing.


    - To test your blood against a donor's blood to make sure they are fully compatible.

    3. Obtain and record baseline vital signs.


    - To the administer a blood transfusion, and prior to surgery and other invasive procedures.

    4. Practice strict ASEPSIS.


    - To protect patients from harmful bacteria and other pathogens during medical procedures, healthcare
    providers use aseptic technique.

    5. At least 2 nurses check the label of the blood transfusion.


    • Check the following:
    ° serial number-To verify the numbers/information to match exactly.

    ° blood component-To be completed by two trained staff members competent in blood transfusion
    administration process as set out by the agency.

    ° blood type-To confirm the patient blood type and Rh are compatible with the donor blood type
    and Rh

    ° Rh factor-To indicates whether the blood of two different people is compatible when mixed

    ° expiration date-To know If there are any discrepancies, stop the process and contact the TMS for
    resolution and direction. Do not proceed.

    ° screening tests-To Ensure the blood product matches the physician’s orders (red blood cells or
    platelets).

    6. Warm blood at room temperature before transfusion.


    -To avoid iatrogenic hypothermia, raising core temperatures in hypothermic individuals and preventing
    coagulation abnormalities
    7. Identify client properly. Two nurses check client's identification.
    - To prevent instances of mis-identification and near-miss error, The Joint Commission requires that two
    identifiers such as a patient's full name, date of birth and/or medical identification (ID) number be used
    for every patient encounter.

    8. Use needle gauge 18 or 19.


    -To administer blood, pushing fluids rapidly.

    9. Use BT (blood transfusion) set with filter.


    -To remove clots and small clumps of platelets and white blood cells that form during collection and
    storage.

    10. Start infusion slowly at 10gtts/min. Remain at bedside for 15 to 30 minutes.


    - To prevent administration of blood clots and particles.

    11. Monitor VS.


    - To obtain basic indicators of a patient's health status.

    12. Do not mix medications with blood transfusion.


    • Do not incorporate medication into the blood transfusion
    • Do not use blood transfusion line for IV push of medications
    -To prevent infectious diseases and other medical issues before they are allowed to donate blood for
    transfusion.

    13. Administer 0.9% NaCl before, during or after BT. Never administer IV fluids with dextrose.
    -To replace (e.g., dehydration, hypovolemia, hemorrhage, sepsis)

    14. Administer BT for 4 hours ( whole blood, packed RBC). For plasma, platelets, cryoprecipitate,
    transfuse quickly (20 minutes)
    - Preventing GVH disease by ensuring irradiation of blood products containing viable WBC’s (i.e., whole
    blood, platelets, packed RBC’s and granulocytes) before transfusion; irradiation alters ability of donor
    lymphocytes to engraft and divide.

    15. Observe for potential complications. Notify physician.


    -To prevent missing information.

    Prepared by:

    Anita N. Manalo, RN, MAN

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