Blood Transfusion

본문내용

urs
예방 ; meticulously verify patient ID form sample collection to product infusion.
Begin infusion slowly and observe closely for 30min.
Transfusion overload
- Symptoms
: The symptoms of volume overload may appear during the transfusion or up to 24 hours following the transfusion.
They include:
restlessness
tachypnea, dyspnea
non-productive cough
cyanosis, rales, and jugular vein distention
tachycardia
increased B/P
- Nursing Responsibilities
: Stop the transfusion. Closely monitor the patient’s vital signs and symptoms.
Hang new tubing with normal saline TKO to maintain IV access to administer medications and fluids.
Notify the physician and obtain further orders to address the patient symptoms.
Position patient in high Fowler’s to facilitate respiration.
- Diagnosis/Work-up
: Volume overload secondary to transfusion is diagnosed by patient history and presenting symptoms.
- Treatment
: Oxygen, diuretics, morphine and/or mechanical ventilation may be required to relieve the patient’s symptoms.
< 족보> 1. Blood transfusion시 Fluid overload 증상은? (select all)
1. BP :159/95 mmHg #
2. Increase BT
3. Crackle (rale) #
4. Nausea &Vomiting
5. Face flushing ?
6. Headache #

키워드

수혈,   blood,   백혈구