1. Blood Transfusions Blood products (p.731) PRBC’s Frozen PRBC’s
Platelets
FFP
Albumin

2. Indications for Blood Products
Management of hematologic diseases
Hemorrhagic conditions
No blood substitutes

3. Safety of Blood Products
Screening of blood donors
What if donor is not truthful?
Blood is tested by the collection agency
Locally-American Red Cross
Know blood type

4. Equipment IV site for blood product Large bore needle (18-20 gauge)
Saline (never dextrose)
IV pump
Blood tubing
Has “Y” adaptor
Special filter
Use once

5. Nursing Responsibilities
Patient knowledge base/permission
Religious preference
History of prior transfusions/reactions
Review MD orders
T&CM/lab
Blood band/red
Document

6. More Responsibilities
Initiate IV site
Obtain Vital Signs prior to blood product
Obtain blood product from lab
Have second RN verify blood product
Monitor for reactions
Administer over 2-4 hours per MD order
Post administration VS

7. During Administration of Blood Products
Stay with individual for the first 15 minutes
Observe IV site for complications
Should reaction occur-STOP transfusion
Give fluids in second IV site
Don’t flush remainder of blood in tubing into the patient

8. Post Transfusion Obtain VS Document VS
Continue to monitor for complications
Assess for FVE
Prepare for second transfusion
Document

9. Complications (Lewis p. 733)
Acute Hemolytic Reaction
Febrile non-hemolytic
Allergic reactions
Circulatory Overload
Sepsis

10. Delayed Reactions (Lewis p.734)
Hepatitis B
Hepatitis C
Iron Overlaod

11. Conclusions Blood product administration is serious
Know your equipment
Be familiar with facility policy
Monitor the recipient
Document