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Nurse Linda was monitoring a 35-year-old male patient who was receiving blood transfusion. On assessment, the nurse found that the respiratory rate is 24 and Blood Pressure is 90/60. Which of the following is the priority action by the nurse?

Nurse Linda was monitoring a 35-year-old male patient who was receiving blood transfusion. On assessment, the nurse found that the respiratory rate is 24 and Blood Pressure is 90/60. Which of the following is the priority action by the nurse? Correct Answer Immediately stop the transfusion

Concept:

  • Blood transfusion is indicated in:
    • Anemia
    • Trauma
    • Coagulopathy
  • In case of anemia, blood loss and some other organic disorders where the common reasons for blood transfusions
  • During blood transfusion vitals should be monitored for every 5 minutes once in the first 20 minutes later on for every 15 mints once
  • During transfusion nurse should observe for transfusion reactions like itching, redness, swelling or changes in the vitals need to be monitored and should inform to the physician
  • Because these could be because of incompatible blood

Explanation:

  • Before blood transfusion for every patient grouping and cross matching should be done to minimize the complications
  • Circulatory over load, anaphylactic reactions are the most common complications of blood transfusions
  • Anti histamines, analgesics and antipyretics  can be given based on the patient requirements

Additional Information

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  • Blood can be transfused as packed RBCs, whole blood, fresh frozen plasma, blood cells
  • FFP can be stored even for years
  • Whole blood can be stored only for 5 days
  • Blood contains 55% of plasma and 45% of formed cells

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