NURS 205 Chapter Notes - Chapter 33: Hypovolemia, Acute Kidney Injury, Blood Bank
23 Nov 2016
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Chapter 33: hematological problems p 832-836. only a temporary support used until the underlying problem is resolved. Blood component therapy - many surgeries, procedures depended on blood product supports. Whole blood (for massive hemorrhage or exchange transfusion) or parts platelets, packed rbc (prbcs), plasma. Potentially risky research on rbc substitute antifibrinolytic agents. Administration equipment: all patients must have a patient identification bracelet. Only 0. 9% nacl (ns) should be combined with a blood component for transfusion. Blood administration: 19-gauge needle (larger 18, 16-gauge) for rapid transfusion. Y-type blood administration set (w/ microaggregate filter- 1 branch for saline, 1 for blood product. Change tubing q24h or after 4 units red cells. Iv infusion devices pumps may be used to regulate and monitor transfusion flow. Can"t use dextrose/lactated ringer"s rbc hemolysis. Can"t give additives (cid:523)med as well (cid:524) w/ same tubing unless it"s cleared with saline first. Administration procedure: check donor + recipient (improper product-patient identification= 90% rxn)
