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

General Overview

Types of blood products PRBC FFP Platelets Albumin

Indications specific to component

Importance of nursing role

Nursing Assessment: Pre-Transfusion

IV site Site Size

Verify MD order Establish baseline VS Consent signed Education

Transfusion history Report chills,

dizziness or fever

Safety First

First check Double check

Blood type & Rh Patient name MR # Expiration date Unit # on compatibility

tag Both document

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

Complications

Fluid overload Lyte imbalances Hypothermia Thrombocytopenia

Transfusion ReactionsFebrile Reaction Sudden onset of chills, fever, temp elevation

>1 degree C. headache, anxiety

Mild Allergic Reaction Flushing, urticaria, hivesAllergic

Acute Hemolytic Reaction Chills, fever, flushing, tachycardia, SOB,

hypotension, acute renal failure, shock, cardiac arrest, death

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