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Blood Product Administration

Blood Product Administration. Keith Rischer, RN. Erythrocytes. Function Normal Life span Norms Hgb Women: 12-16 g/dl Men: 13.5-18n g/dl HCT Women: 38-47% Men: 40-54% RBC 4.0-5.0 mm3 4.5-6.0 mm3. Terms. Agglutinin Antigen Autologous donor ABO Rh. Blood Types.

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Blood Product Administration

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  1. Blood Product Administration Keith Rischer, RN

  2. Erythrocytes • Function • Normal Life span • Norms • Hgb • Women: 12-16 g/dl • Men: 13.5-18n g/dl • HCT • Women: 38-47% • Men: 40-54% • RBC • 4.0-5.0 mm3 • 4.5-6.0 mm3

  3. Terms • Agglutinin • Antigen • Autologous donor • ABO • Rh

  4. Blood Types

  5. General Overview • Types of blood products • PRBC • FFP • Platelets • Albumin • Indications specific to component • Importance of nursing role

  6. Nursing Assessment: Pre-Transfusion • IV site • Site • Size • Verify MD order • Establish baseline VS • Consent signed • Education • Transfusion history • Report chills, dizziness or fever

  7. Safety First • First check • Double check • Blood type & Rh • Patient name • MR # • Expiration date • Unit # on compatibility tag • Both document

  8. Nursing Responsibilities • NS • Prime tubing before • VS checks • 15” • Every hour infusing • End • Volume in unit • Rate of administration • ½ hourly rate first 15” • Observe first 15” • Document

  9. Complications • Fluid overload • Lyte imbalances • Hypothermia • Thrombocytopenia

  10. Transfusion Reactions Febrile Reaction • Sudden onset of chills,fever, temp elevation >1 degree C. headache, anxiety Mild Allergic Reaction • Flushing, urticaria, hives Allergic Acute Hemolytic Reaction • Chills, fever, flushing, tachycardia, SOB, hypotension, acute renal failure, shock, cardiac arrest, death

  11. Transfusion Reaction Responsibilities • STOP transfusion stat & disconnect • Maintain IV site-disconnect from IV and flush with NS • Recheck ID • Notify blood bank/MD • Monitor VS • Treat sx per MD orders • Save bag and tubing-send to blood bank • Document per policy

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