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

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

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

7. 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

8. Complications  Fluid overload  Lyte imbalances  Hypothermia  Thrombocytopenia

9. 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

10. 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