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Blood Transfusions

Blood and blood components must be maintained between 1-6 degrees Celsius and transfused through an approved sterile set with a filter. The transfusion tubing and filter should be changed every 2 units of blood or 4 hours. Only normal saline can be used during a blood transfusion. Patients' vital signs must be monitored before, during, and after a transfusion to check for any reactions. If a reaction is suspected, the transfusion should be stopped and the physician and blood bank notified.

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Glenn Perez
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21 views

Blood Transfusions

Blood and blood components must be maintained between 1-6 degrees Celsius and transfused through an approved sterile set with a filter. The transfusion tubing and filter should be changed every 2 units of blood or 4 hours. Only normal saline can be used during a blood transfusion. Patients' vital signs must be monitored before, during, and after a transfusion to check for any reactions. If a reaction is suspected, the transfusion should be stopped and the physician and blood bank notified.

Uploaded by

Glenn Perez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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B L O O D

C H A P T E R 2
T R A N S F U S I O N S

Blood Transfusions
Since blood is an especially enriched media which is not pasteurized,
special considerations regarding the administration of blood and its
components are necessary in order to ensure a safe transfusion.
TRANSF USI ON

OF

BLOOD

Blood and blood components shall be maintained in a controlled


environment at optimal temperature between 1 and 6 degrees
centigrade.
All blood products shall be transfused through an approved
sterile, pyrogen-free transfusion set specific for blood products,
and which has a filter capable of retaining precipitates and/or
microaggregates.
The transfusion tubing and filter set should be changed at least
every 2 units of blood or every 4 hours, whichever occur first.
SKIN/ ACCESS

Scrub skin 30 seconds with an iodophor.


appropriate for type of access used.
COM PATIBL E

Use aseptic technique

SOLUTIO NS

Normal saline is the only compatible solution which may be used in


conjunction with blood transfusion. Other solutions are not to be added
to the unit or IV line through which blood is transfused.
M EDICATI ONS

Never add any medications to blood.


M ONI TORI NG

The patients vital signs must be taken and recorded prior to transfusion
so that a baseline is available in the event of suspected hemolytic, febrile,
or allergic reaction; and repeated again at 15 minutes after the start of
the transfusion.
BLOOD

ADM INISTR ATIO N

Blood transfusion must be initiated within 30 minutes of issue from the


Blood Bank, and administered over a 1 to 4 hour period (unless specified
otherwise by the physician). Due to the risk of contamination of the
blood, 4 hours is the maximum allowable transfusion time.
Additionally, the patient should be closely observed for the first 15
minutes during administration of blood or blood products for any
changes in behavior or vital signs, which could be interpreted as
evidence of a transfusion reaction.
REACTIO NS

B L O O D

C H A P T E R 2
T R A N S F U S I O N S

If a transfusion reaction is suspected, discontinue the transfusion,


maintain the IV with normal saline, notify the patients physician and the
Blood Bank. Recheck all clerical information and insure the patient was
identified correctly. Provide two (2) large pink top tubes to the Blood
Bank along with first available urine, the blood product, and the
complete infusion set. Provide symptomatic treatment of patient as
ordered. Initiate transfusion reaction workup.

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