SlideShare ist ein Scribd-Unternehmen logo
1 von 52
Blood
Transfusion
  Nursing Procedure


                http://nursesinfosite.blogspot.com
*Whole blood transfusion replenishes the
  circulatories:

 Volume
 Oxygen-carrying capacity


*Packed Red Blood Cells (RBCs) restores:

 Oxygen-carrying capacity


Both treat decreased hemoglobin and hematocrit.

                             http://nursesinfosite.blogspot.com
Two nurses must identify the:

1. Patient
2. Blood products

before administering a transfusion (to
  prevent errors & potentially fatal reaction)


                           http://nursesinfosite.blogspot.com
If a patient is a Jehova’s Witness, a
   transfusion requires special written
   permission.




                           http://nursesinfosite.blogspot.com
Equipments needed
1. Blood recipient
  set (filter &
  tubing with drip
  chamber for
  blood, or
  combined set)




                     http://nursesinfosite.blogspot.com
Equipments needed
2. I.V. pole
3. Gloves
4. Gown
5. Face Shield




                  http://nursesinfosite.blogspot.com
Equipments needed
6. Multi-lead tubing




                       http://nursesinfosite.blogspot.com
Equipments needed
7. Whole blood or packed RBC’s




                       http://nursesinfosite.blogspot.com
Equipments needed
8. 250 ml of Normal Saline Solution




                         http://nursesinfosite.blogspot.com
Equipments needed
9. Venipuncture equipment, if necessary
  (should include 20G or larger catheter)




                         http://nursesinfosite.blogspot.com
Equipments needed
10. optional: ice bag, warm compresses




                        http://nursesinfosite.blogspot.com
Getting Ready
Avoid obtaining either whole blood or
 packed RBC’s until you’re ready to begin
 the transfusion

Prepare the equipment when you’re ready to
  start the infusion.




                        http://nursesinfosite.blogspot.com
The Procedure
Explain the procedure to the patient
Make sure an informed consent has been
 signed
Record baseline vital signs




                       http://nursesinfosite.blogspot.com
The Procedure
Obtain whole blood or
 packed RBCs from the
 blood bank within 30
 minutes of the transfusion
 start time.




                        http://nursesinfosite.blogspot.com
The Procedure
         Check the
         expiration date on
         the blood bag, &
         observe for
         abnormal color,
         RBC clumping, gas
         bubbles, &
         extraneous
         material. Return
         outdated or
         abnormal blood to
         the blood bank.
        http://nursesinfosite.blogspot.com
The Procedure
Compare the name & number on the patient’s
 wristband with those on the blood bag label.




                            http://nursesinfosite.blogspot.com
The Procedure
Check the blood bag
 identification
 number, ABO blood
 group, and Rh
 compatibility.

Also, compare the
  patient’s blood bank
  identification
  number, if present,
  with the number on
  the blood bag.
                         http://nursesinfosite.blogspot.com
The Procedure
Identification of blood & blood products is
performed at the patient’s bedside by two
licensed profesionals, according to the
facility’s policy.




                        http://nursesinfosite.blogspot.com
http://nursesinfosite.blogspot.com
The Procedure
Wash your hands.
Put on gloves, a gown, & a face shield.




                         http://nursesinfosite.blogspot.com
Remove IV administration set and fluid from
 packaging




                         http://nursesinfosite.blogspot.com
Remove the cover from the selected spike
 and the cover from the bottle/bag of fluid.




                          http://nursesinfosite.blogspot.com
The Procedure
Then insert the spike of the line you’re using
 for the normal saline solution into the bag
 of saline solution aseptically.




                          http://nursesinfosite.blogspot.com
When fluid drips out of the end of the distal
 tubing turn off the infusion rate clamp.




                          http://nursesinfosite.blogspot.com
The Procedure
Using a Y-type set, close all the clamps on
 the set.




                         http://nursesinfosite.blogspot.com
The Procedure
Next, open the port on the blood bag &
 insert the other spike.




                         http://nursesinfosite.blogspot.com
The Procedure
Hang the bags on the
 I.V. pole,




                       http://nursesinfosite.blogspot.com
The Procedure
open the clamp on the line of saline solution,




                          http://nursesinfosite.blogspot.com
The Procedure
squeeze the drip chamber until it’s half full.




                         http://nursesinfosite.blogspot.com
The Procedure
If the patient doesn’t have an I.V. line in
   place, perform venipuncture, using a 20G
   or larger-diameter catheter.




                         http://nursesinfosite.blogspot.com
The Procedure
Avoid using an existing line if the needle or
 catheter lumen is smaller than 20G.

Ventral venous access devices also may be
 used for transfusion therapy.




                          http://nursesinfosite.blogspot.com
The Procedure
If you’re administering whole blood, gently
   invert the bag several times to mix the
   cells.




                          http://nursesinfosite.blogspot.com
The Procedure
Attach the prepared blood administration set
  to the venipuncture device, & flush it with
  normal saline solution.




                         http://nursesinfosite.blogspot.com
The Procedure
Then close the clamp to the saline solution,
 & open the clamp between the blood bag
 & the patient.




                          http://nursesinfosite.blogspot.com
The Procedure
Adjust the flow
 clamp closest to
 the patient to
 deliver the blood
 at the calculated
 drip rate.




                     http://nursesinfosite.blogspot.com
The Procedure
Remain with the patient, & watch for the
 signs of a tranfusion reaction, such as
 fever, chills, & wheezing.




                         http://nursesinfosite.blogspot.com
The Procedure
If such sign develop, record vital signs and
   stop the transfusion.




                          http://nursesinfosite.blogspot.com
The Procedure
Infuse saline solution at a moderately slow
  infusion rate, & notify the doctor at once.




                           http://nursesinfosite.blogspot.com
The Procedure
If no signs of a reaction appear within 15
   minutes, you’ll need to adjust the flow
   clamp to the ordered infusion rate.




                          http://nursesinfosite.blogspot.com
The Procedure
A unit of RBCs may be given over 1-4 hours
  as ordered.




                        http://nursesinfosite.blogspot.com
The Procedure
After completing the
  transfusion, you’ll
  need to put on gloves
  & remove & discard
  the used transfusion
  equipment.




                          http://nursesinfosite.blogspot.com
The Procedure
Then remember to reconnect the original
 I.V. fluid, if necessary, or disconnect the
 I.V. infusion.




                          http://nursesinfosite.blogspot.com
The Procedure
Return the empty blood bag to the blood
 bank, & discard the tubing & filter.




                        http://nursesinfosite.blogspot.com
The Procedure
Record the patient’s vital signs.




                           http://nursesinfosite.blogspot.com
Practice Pointers
Although some microaggregate filters can
be used for up to 10 units of blood, always
replace the filter & tubing if more than 1
hour elapses between transfusions.
Practice Pointers
When administering multiple units of blood,
 use blood warmer to avoid hypothermia.




                         http://nursesinfosite.blogspot.com
Practice Pointers
For rapid blood replacement, know that
you may need to use a pressure bag.




                       http://nursesinfosite.blogspot.com
Practice Pointers
If you’re administering packed RBCs with
Y-type set, you can add saline solution to
the bag to dilute the cells by closing the
clamp between the patient & the drip
chamber & opening the clamp from the
blood




                        http://nursesinfosite.blogspot.com
Practice Pointers
Then lower the blood bag below the saline
solution container & let 30-50ml of saline
solution flow into the packed cells.




                       http://nursesinfosite.blogspot.com
Practice Pointers
Finally, close the clamp to the blood bag,
rehang the bag, rotate it gently to mix the
cells & saline container




                        http://nursesinfosite.blogspot.com
Documenting Blood Transfusion
In your notes, record:
Date & time of the transfusion.
Type & amount of transfusion product.
Patient’s vital signs.
Your check of all identification data.
Transfusion reaction & nursing actions
  taken.


                        http://nursesinfosite.blogspot.com
“Nurses Information”
http://nursesinfosite.blogspot.com

Weitere ähnliche Inhalte

Was ist angesagt?

Was ist angesagt? (20)

Blood transfusion & nursing responsibilities
Blood transfusion & nursing responsibilitiesBlood transfusion & nursing responsibilities
Blood transfusion & nursing responsibilities
 
Insertion of NG tube
Insertion of NG tubeInsertion of NG tube
Insertion of NG tube
 
Blood transfusion -procedure,precaution and complication
Blood transfusion -procedure,precaution and complicationBlood transfusion -procedure,precaution and complication
Blood transfusion -procedure,precaution and complication
 
Catheter care
Catheter careCatheter care
Catheter care
 
Catheterisation
CatheterisationCatheterisation
Catheterisation
 
O2 therapy procedure
O2 therapy procedureO2 therapy procedure
O2 therapy procedure
 
Ppt. catheter care
Ppt. catheter carePpt. catheter care
Ppt. catheter care
 
Bladder irrigation
Bladder irrigationBladder irrigation
Bladder irrigation
 
Abdominal paracentesis
Abdominal paracentesis Abdominal paracentesis
Abdominal paracentesis
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
oxygen administration procedure
oxygen administration procedureoxygen administration procedure
oxygen administration procedure
 
Blood transfusions ppt
Blood transfusions pptBlood transfusions ppt
Blood transfusions ppt
 
2.surgical asepsis
2.surgical asepsis2.surgical asepsis
2.surgical asepsis
 
Dr.s.valliammal. barrier nursing & infection control
Dr.s.valliammal. barrier nursing & infection controlDr.s.valliammal. barrier nursing & infection control
Dr.s.valliammal. barrier nursing & infection control
 
Nasogastric tube insertion and feeding
Nasogastric tube insertion and feedingNasogastric tube insertion and feeding
Nasogastric tube insertion and feeding
 
Administration of oral medication
Administration of oral medicationAdministration of oral medication
Administration of oral medication
 
Eye care & perineal care
Eye care & perineal careEye care & perineal care
Eye care & perineal care
 
Ng tube feeding
Ng tube feedingNg tube feeding
Ng tube feeding
 
Intravenous cannulation
Intravenous cannulationIntravenous cannulation
Intravenous cannulation
 
IV CANNULA INSERTION
IV CANNULA INSERTIONIV CANNULA INSERTION
IV CANNULA INSERTION
 

Andere mochten auch

Complications of blood transfusion
Complications of blood transfusionComplications of blood transfusion
Complications of blood transfusionraj kumar
 
Blood transfusion reactions and complications
Blood transfusion reactions and complicationsBlood transfusion reactions and complications
Blood transfusion reactions and complicationsSCGH ED CME
 
Blood transfusion skills
Blood transfusion skillsBlood transfusion skills
Blood transfusion skillsCarmina Gurrea
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusiondrmcbansal
 

Andere mochten auch (9)

Complications of blood transfusion
Complications of blood transfusionComplications of blood transfusion
Complications of blood transfusion
 
Wardclass powerpoint blood transfusion
Wardclass powerpoint blood transfusionWardclass powerpoint blood transfusion
Wardclass powerpoint blood transfusion
 
Blood transfusion reactions and complications
Blood transfusion reactions and complicationsBlood transfusion reactions and complications
Blood transfusion reactions and complications
 
Blood transfusion skills
Blood transfusion skillsBlood transfusion skills
Blood transfusion skills
 
Blood and blood transfusions
Blood and blood transfusionsBlood and blood transfusions
Blood and blood transfusions
 
Blood Transfusion
Blood TransfusionBlood Transfusion
Blood Transfusion
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 

Ähnlich wie Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com

ASSISTING IN BLOOD TRANSFUSION Bloo.pptx
ASSISTING IN BLOOD TRANSFUSION Bloo.pptxASSISTING IN BLOOD TRANSFUSION Bloo.pptx
ASSISTING IN BLOOD TRANSFUSION Bloo.pptxZellanienhd
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusionSam Malenab
 
IV FLUID AD (1).pptx
IV FLUID AD  (1).pptxIV FLUID AD  (1).pptx
IV FLUID AD (1).pptxOm VaishNav
 
Searched fundatmentals info on the web
Searched fundatmentals info on the webSearched fundatmentals info on the web
Searched fundatmentals info on the webLinda Petsche
 
Blood sample collection procedure ppt
Blood sample collection procedure pptBlood sample collection procedure ppt
Blood sample collection procedure pptanjalatchi
 
BLOOD SAMPLE COLLECTION PPT.pptx
BLOOD SAMPLE COLLECTION PPT.pptxBLOOD SAMPLE COLLECTION PPT.pptx
BLOOD SAMPLE COLLECTION PPT.pptxanjalatchi
 
Blood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, Silvassa
Blood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, SilvassaBlood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, Silvassa
Blood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, SilvassaNursingOfficers1
 
External Port Competency
External Port CompetencyExternal Port Competency
External Port CompetencyCathy Lewis
 
INTRAVENOUS-FLUID-INSERTION-2.ppt
INTRAVENOUS-FLUID-INSERTION-2.pptINTRAVENOUS-FLUID-INSERTION-2.ppt
INTRAVENOUS-FLUID-INSERTION-2.pptGenkiFayBLequigan
 
Na Ii Ppt Module 7
Na Ii Ppt Module 7Na Ii Ppt Module 7
Na Ii Ppt Module 7natrainer
 
Sample Collection & Processing.pptxDr Rajju Tiwari M.D. biochemistry
Sample Collection & Processing.pptxDr Rajju Tiwari M.D. biochemistrySample Collection & Processing.pptxDr Rajju Tiwari M.D. biochemistry
Sample Collection & Processing.pptxDr Rajju Tiwari M.D. biochemistryRanjana187247
 
Blood collection, precautions to prevent hemolysis and
Blood collection, precautions to prevent hemolysis andBlood collection, precautions to prevent hemolysis and
Blood collection, precautions to prevent hemolysis andSowmya Srinivas
 
sample collection & rejection .pptx is used in hospital
sample collection & rejection .pptx is used in hospitalsample collection & rejection .pptx is used in hospital
sample collection & rejection .pptx is used in hospitalsathishmanoharan13
 
Medication administration part 2
Medication administration part 2Medication administration part 2
Medication administration part 2Ben Lesold
 
Blood transfusion detail
Blood transfusion detailBlood transfusion detail
Blood transfusion detailHIRENGEHLOTH
 

Ähnlich wie Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com (20)

ASSISTING IN BLOOD TRANSFUSION Bloo.pptx
ASSISTING IN BLOOD TRANSFUSION Bloo.pptxASSISTING IN BLOOD TRANSFUSION Bloo.pptx
ASSISTING IN BLOOD TRANSFUSION Bloo.pptx
 
Lab tests in HSCT
Lab tests in HSCTLab tests in HSCT
Lab tests in HSCT
 
BloodTransfusion.pdf
BloodTransfusion.pdfBloodTransfusion.pdf
BloodTransfusion.pdf
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
IV FLUID AD (1).pptx
IV FLUID AD  (1).pptxIV FLUID AD  (1).pptx
IV FLUID AD (1).pptx
 
Searched fundatmentals info on the web
Searched fundatmentals info on the webSearched fundatmentals info on the web
Searched fundatmentals info on the web
 
Blood sample collection procedure ppt
Blood sample collection procedure pptBlood sample collection procedure ppt
Blood sample collection procedure ppt
 
BLOOD SAMPLE COLLECTION PPT.pptx
BLOOD SAMPLE COLLECTION PPT.pptxBLOOD SAMPLE COLLECTION PPT.pptx
BLOOD SAMPLE COLLECTION PPT.pptx
 
Blood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, Silvassa
Blood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, SilvassaBlood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, Silvassa
Blood transfusion by M.Sc.Second year, 2020-21 Btach, SVBCON, Silvassa
 
Blood transfussion
Blood transfussionBlood transfussion
Blood transfussion
 
External Port Competency
External Port CompetencyExternal Port Competency
External Port Competency
 
Iv cannulation
Iv cannulationIv cannulation
Iv cannulation
 
INTRAVENOUS-FLUID-INSERTION-2.ppt
INTRAVENOUS-FLUID-INSERTION-2.pptINTRAVENOUS-FLUID-INSERTION-2.ppt
INTRAVENOUS-FLUID-INSERTION-2.ppt
 
Na Ii Ppt Module 7
Na Ii Ppt Module 7Na Ii Ppt Module 7
Na Ii Ppt Module 7
 
Sample Collection & Processing.pptxDr Rajju Tiwari M.D. biochemistry
Sample Collection & Processing.pptxDr Rajju Tiwari M.D. biochemistrySample Collection & Processing.pptxDr Rajju Tiwari M.D. biochemistry
Sample Collection & Processing.pptxDr Rajju Tiwari M.D. biochemistry
 
Blood culture
Blood cultureBlood culture
Blood culture
 
Blood collection, precautions to prevent hemolysis and
Blood collection, precautions to prevent hemolysis andBlood collection, precautions to prevent hemolysis and
Blood collection, precautions to prevent hemolysis and
 
sample collection & rejection .pptx is used in hospital
sample collection & rejection .pptx is used in hospitalsample collection & rejection .pptx is used in hospital
sample collection & rejection .pptx is used in hospital
 
Medication administration part 2
Medication administration part 2Medication administration part 2
Medication administration part 2
 
Blood transfusion detail
Blood transfusion detailBlood transfusion detail
Blood transfusion detail
 

Mehr von Louie Ray

Arterial Blood Bas (ABG) Procedure and Interpretation
Arterial Blood Bas (ABG) Procedure and InterpretationArterial Blood Bas (ABG) Procedure and Interpretation
Arterial Blood Bas (ABG) Procedure and InterpretationLouie Ray
 
Neurological Assessment & Artificial Airway Management
Neurological Assessment & Artificial Airway ManagementNeurological Assessment & Artificial Airway Management
Neurological Assessment & Artificial Airway ManagementLouie Ray
 
Nasogastric Tube (NGT) insertion and removal
Nasogastric Tube (NGT) insertion and removalNasogastric Tube (NGT) insertion and removal
Nasogastric Tube (NGT) insertion and removalLouie Ray
 
Anatomy Of Cardiovasvular System
Anatomy Of Cardiovasvular SystemAnatomy Of Cardiovasvular System
Anatomy Of Cardiovasvular SystemLouie Ray
 
Antibiotics That Require Frequent Monitoring
Antibiotics That Require Frequent MonitoringAntibiotics That Require Frequent Monitoring
Antibiotics That Require Frequent MonitoringLouie Ray
 
Cardiovascular Pathology (part 1)
Cardiovascular Pathology (part 1)Cardiovascular Pathology (part 1)
Cardiovascular Pathology (part 1)Louie Ray
 
Precardium: Palpation
Precardium: PalpationPrecardium: Palpation
Precardium: PalpationLouie Ray
 
Precardium: Inspection
Precardium: InspectionPrecardium: Inspection
Precardium: InspectionLouie Ray
 
Veins: Neck Veins
Veins: Neck VeinsVeins: Neck Veins
Veins: Neck VeinsLouie Ray
 
Arterial Pulse: Radial
Arterial Pulse: RadialArterial Pulse: Radial
Arterial Pulse: RadialLouie Ray
 
Intensified TB case-finding: still wide open to questions and answers
Intensified TB case-finding: still wide open to questions and answersIntensified TB case-finding: still wide open to questions and answers
Intensified TB case-finding: still wide open to questions and answersLouie Ray
 
Pulmonary Tuberculosis
Pulmonary TuberculosisPulmonary Tuberculosis
Pulmonary TuberculosisLouie Ray
 
Pathology of Pneumonia
Pathology of PneumoniaPathology of Pneumonia
Pathology of PneumoniaLouie Ray
 
INTER-COUNTRY MEETING OF NATIONAL TUBERCULOSIS PROGRAMME MANAGERS IN THE EAS...
 INTER-COUNTRY MEETING OF NATIONAL TUBERCULOSIS PROGRAMME MANAGERS IN THE EAS... INTER-COUNTRY MEETING OF NATIONAL TUBERCULOSIS PROGRAMME MANAGERS IN THE EAS...
INTER-COUNTRY MEETING OF NATIONAL TUBERCULOSIS PROGRAMME MANAGERS IN THE EAS...Louie Ray
 
Cutaneous Antrax & Its Mimics
Cutaneous Antrax & Its MimicsCutaneous Antrax & Its Mimics
Cutaneous Antrax & Its MimicsLouie Ray
 

Mehr von Louie Ray (15)

Arterial Blood Bas (ABG) Procedure and Interpretation
Arterial Blood Bas (ABG) Procedure and InterpretationArterial Blood Bas (ABG) Procedure and Interpretation
Arterial Blood Bas (ABG) Procedure and Interpretation
 
Neurological Assessment & Artificial Airway Management
Neurological Assessment & Artificial Airway ManagementNeurological Assessment & Artificial Airway Management
Neurological Assessment & Artificial Airway Management
 
Nasogastric Tube (NGT) insertion and removal
Nasogastric Tube (NGT) insertion and removalNasogastric Tube (NGT) insertion and removal
Nasogastric Tube (NGT) insertion and removal
 
Anatomy Of Cardiovasvular System
Anatomy Of Cardiovasvular SystemAnatomy Of Cardiovasvular System
Anatomy Of Cardiovasvular System
 
Antibiotics That Require Frequent Monitoring
Antibiotics That Require Frequent MonitoringAntibiotics That Require Frequent Monitoring
Antibiotics That Require Frequent Monitoring
 
Cardiovascular Pathology (part 1)
Cardiovascular Pathology (part 1)Cardiovascular Pathology (part 1)
Cardiovascular Pathology (part 1)
 
Precardium: Palpation
Precardium: PalpationPrecardium: Palpation
Precardium: Palpation
 
Precardium: Inspection
Precardium: InspectionPrecardium: Inspection
Precardium: Inspection
 
Veins: Neck Veins
Veins: Neck VeinsVeins: Neck Veins
Veins: Neck Veins
 
Arterial Pulse: Radial
Arterial Pulse: RadialArterial Pulse: Radial
Arterial Pulse: Radial
 
Intensified TB case-finding: still wide open to questions and answers
Intensified TB case-finding: still wide open to questions and answersIntensified TB case-finding: still wide open to questions and answers
Intensified TB case-finding: still wide open to questions and answers
 
Pulmonary Tuberculosis
Pulmonary TuberculosisPulmonary Tuberculosis
Pulmonary Tuberculosis
 
Pathology of Pneumonia
Pathology of PneumoniaPathology of Pneumonia
Pathology of Pneumonia
 
INTER-COUNTRY MEETING OF NATIONAL TUBERCULOSIS PROGRAMME MANAGERS IN THE EAS...
 INTER-COUNTRY MEETING OF NATIONAL TUBERCULOSIS PROGRAMME MANAGERS IN THE EAS... INTER-COUNTRY MEETING OF NATIONAL TUBERCULOSIS PROGRAMME MANAGERS IN THE EAS...
INTER-COUNTRY MEETING OF NATIONAL TUBERCULOSIS PROGRAMME MANAGERS IN THE EAS...
 
Cutaneous Antrax & Its Mimics
Cutaneous Antrax & Its MimicsCutaneous Antrax & Its Mimics
Cutaneous Antrax & Its Mimics
 

Kürzlich hochgeladen

Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdfHongBiThi1
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 

Kürzlich hochgeladen (20)

Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 

Blood Transfusion (a nursing procedure) by www.nursesinfosite.blogspot.com

  • 1. Blood Transfusion Nursing Procedure http://nursesinfosite.blogspot.com
  • 2. *Whole blood transfusion replenishes the circulatories:  Volume  Oxygen-carrying capacity *Packed Red Blood Cells (RBCs) restores:  Oxygen-carrying capacity Both treat decreased hemoglobin and hematocrit. http://nursesinfosite.blogspot.com
  • 3. Two nurses must identify the: 1. Patient 2. Blood products before administering a transfusion (to prevent errors & potentially fatal reaction) http://nursesinfosite.blogspot.com
  • 4. If a patient is a Jehova’s Witness, a transfusion requires special written permission. http://nursesinfosite.blogspot.com
  • 5. Equipments needed 1. Blood recipient set (filter & tubing with drip chamber for blood, or combined set) http://nursesinfosite.blogspot.com
  • 6. Equipments needed 2. I.V. pole 3. Gloves 4. Gown 5. Face Shield http://nursesinfosite.blogspot.com
  • 7. Equipments needed 6. Multi-lead tubing http://nursesinfosite.blogspot.com
  • 8. Equipments needed 7. Whole blood or packed RBC’s http://nursesinfosite.blogspot.com
  • 9. Equipments needed 8. 250 ml of Normal Saline Solution http://nursesinfosite.blogspot.com
  • 10. Equipments needed 9. Venipuncture equipment, if necessary (should include 20G or larger catheter) http://nursesinfosite.blogspot.com
  • 11. Equipments needed 10. optional: ice bag, warm compresses http://nursesinfosite.blogspot.com
  • 12. Getting Ready Avoid obtaining either whole blood or packed RBC’s until you’re ready to begin the transfusion Prepare the equipment when you’re ready to start the infusion. http://nursesinfosite.blogspot.com
  • 13. The Procedure Explain the procedure to the patient Make sure an informed consent has been signed Record baseline vital signs http://nursesinfosite.blogspot.com
  • 14. The Procedure Obtain whole blood or packed RBCs from the blood bank within 30 minutes of the transfusion start time. http://nursesinfosite.blogspot.com
  • 15. The Procedure Check the expiration date on the blood bag, & observe for abnormal color, RBC clumping, gas bubbles, & extraneous material. Return outdated or abnormal blood to the blood bank. http://nursesinfosite.blogspot.com
  • 16. The Procedure Compare the name & number on the patient’s wristband with those on the blood bag label. http://nursesinfosite.blogspot.com
  • 17. The Procedure Check the blood bag identification number, ABO blood group, and Rh compatibility. Also, compare the patient’s blood bank identification number, if present, with the number on the blood bag. http://nursesinfosite.blogspot.com
  • 18. The Procedure Identification of blood & blood products is performed at the patient’s bedside by two licensed profesionals, according to the facility’s policy. http://nursesinfosite.blogspot.com
  • 20. The Procedure Wash your hands. Put on gloves, a gown, & a face shield. http://nursesinfosite.blogspot.com
  • 21. Remove IV administration set and fluid from packaging http://nursesinfosite.blogspot.com
  • 22. Remove the cover from the selected spike and the cover from the bottle/bag of fluid. http://nursesinfosite.blogspot.com
  • 23. The Procedure Then insert the spike of the line you’re using for the normal saline solution into the bag of saline solution aseptically. http://nursesinfosite.blogspot.com
  • 24. When fluid drips out of the end of the distal tubing turn off the infusion rate clamp. http://nursesinfosite.blogspot.com
  • 25. The Procedure Using a Y-type set, close all the clamps on the set. http://nursesinfosite.blogspot.com
  • 26. The Procedure Next, open the port on the blood bag & insert the other spike. http://nursesinfosite.blogspot.com
  • 27. The Procedure Hang the bags on the I.V. pole, http://nursesinfosite.blogspot.com
  • 28. The Procedure open the clamp on the line of saline solution, http://nursesinfosite.blogspot.com
  • 29. The Procedure squeeze the drip chamber until it’s half full. http://nursesinfosite.blogspot.com
  • 30. The Procedure If the patient doesn’t have an I.V. line in place, perform venipuncture, using a 20G or larger-diameter catheter. http://nursesinfosite.blogspot.com
  • 31. The Procedure Avoid using an existing line if the needle or catheter lumen is smaller than 20G. Ventral venous access devices also may be used for transfusion therapy. http://nursesinfosite.blogspot.com
  • 32. The Procedure If you’re administering whole blood, gently invert the bag several times to mix the cells. http://nursesinfosite.blogspot.com
  • 33. The Procedure Attach the prepared blood administration set to the venipuncture device, & flush it with normal saline solution. http://nursesinfosite.blogspot.com
  • 34. The Procedure Then close the clamp to the saline solution, & open the clamp between the blood bag & the patient. http://nursesinfosite.blogspot.com
  • 35. The Procedure Adjust the flow clamp closest to the patient to deliver the blood at the calculated drip rate. http://nursesinfosite.blogspot.com
  • 36. The Procedure Remain with the patient, & watch for the signs of a tranfusion reaction, such as fever, chills, & wheezing. http://nursesinfosite.blogspot.com
  • 37. The Procedure If such sign develop, record vital signs and stop the transfusion. http://nursesinfosite.blogspot.com
  • 38. The Procedure Infuse saline solution at a moderately slow infusion rate, & notify the doctor at once. http://nursesinfosite.blogspot.com
  • 39. The Procedure If no signs of a reaction appear within 15 minutes, you’ll need to adjust the flow clamp to the ordered infusion rate. http://nursesinfosite.blogspot.com
  • 40. The Procedure A unit of RBCs may be given over 1-4 hours as ordered. http://nursesinfosite.blogspot.com
  • 41. The Procedure After completing the transfusion, you’ll need to put on gloves & remove & discard the used transfusion equipment. http://nursesinfosite.blogspot.com
  • 42. The Procedure Then remember to reconnect the original I.V. fluid, if necessary, or disconnect the I.V. infusion. http://nursesinfosite.blogspot.com
  • 43. The Procedure Return the empty blood bag to the blood bank, & discard the tubing & filter. http://nursesinfosite.blogspot.com
  • 44. The Procedure Record the patient’s vital signs. http://nursesinfosite.blogspot.com
  • 45. Practice Pointers Although some microaggregate filters can be used for up to 10 units of blood, always replace the filter & tubing if more than 1 hour elapses between transfusions.
  • 46. Practice Pointers When administering multiple units of blood, use blood warmer to avoid hypothermia. http://nursesinfosite.blogspot.com
  • 47. Practice Pointers For rapid blood replacement, know that you may need to use a pressure bag. http://nursesinfosite.blogspot.com
  • 48. Practice Pointers If you’re administering packed RBCs with Y-type set, you can add saline solution to the bag to dilute the cells by closing the clamp between the patient & the drip chamber & opening the clamp from the blood http://nursesinfosite.blogspot.com
  • 49. Practice Pointers Then lower the blood bag below the saline solution container & let 30-50ml of saline solution flow into the packed cells. http://nursesinfosite.blogspot.com
  • 50. Practice Pointers Finally, close the clamp to the blood bag, rehang the bag, rotate it gently to mix the cells & saline container http://nursesinfosite.blogspot.com
  • 51. Documenting Blood Transfusion In your notes, record: Date & time of the transfusion. Type & amount of transfusion product. Patient’s vital signs. Your check of all identification data. Transfusion reaction & nursing actions taken. http://nursesinfosite.blogspot.com