Blood Products
Blood Transfusion
Jehovah’s Witness have the right to refuse blood.
Verify
The lab types and cross the blood for compartibility. Verify the client’s identifiers with another LICENSED Nurse.Â
Only Saline
Best IV: 18 gauge to prevent hemolysis. Only 0.9% NaCL can be infused with blood products.
Give over 2-4 hrs
Give within 30 minutes of receiving from blood bank. If it will not, return immediately to the blood bank. Administer over 2 to 4 hours to prevent fluid overload.
Stop Infusion
Start infusion at slow rate. Reaction occurs within 15 minutes or first 50 ml. If reaction occurs, STOP TRANSFUSION IMMEDIATELY. Disconnect the tubing and run normal saline. Â
Acute Hemolytic Reaction
- Caused by mismatched blood
- Symptoms: fever, back pain, dark red urine due to hemoglobinuria and symptoms of shock (hypotension and tachycardia)
- Priority: Monitor kidney function (BUN, Creatinine and urine output) and IV fluidsÂ
