Reactions following blood transfusion may occur for various reasons. Patient must be informed that the supply of blood is not completely risk-free but that it has been tested carefully. Nursing management is directed toward preventing complications and promptly initiating measures to control any complications that occur. The following steps are taken so that a diagnosis may be made regarding the type and severity of the reaction:
♦ The transfusion set is disconnected, but the intravenous line is kept patent with a normal saline solution (0.9%) in case intravenous medication should be needed rapidly.
♦ The blood container and tubing are saved, not discarded. They are sent to blood bank for repeat typing and culture. The identifying tags and numbers are verified.
♦ The symptoms are treated as prescribed and vital signs are monitored.
♦ The patient blood is drawn from plasma hemoglobin, culture, and retyping.
♦ A urine sample is collected as soon as possible and sent to laboratory for a hemoglobin determination. Subsequent voiding of urine should be observed.
♦ The blood bank is notified that a suspected transfusion reaction has occurred.
♦ The reaction is documented according to the institution’s policy.
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HOW I GOT CURED OF HERPES VIRUS.
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