ACTIVE LEARNING TEMPLATE: Nursing Skill
Neda, Lamar, Kennedy
STUDENT NAME _____________________________________
Blood transfusion
SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Description of Skill
A blood transfusion is a routine medical procedure in which donated blood is provided to you
through a narrow tube placed within a vein in your arm.
Indications CONSIDERATIONS
White blood: restore volume lost from hemorrhaging, trauma, or
burns; Exchange transfusion in sickle cell disease Nursing Interventions (pre, intra, post)
RBCs: restore/maintain oxygen-carrying capacity, correct anemia,
surgical blood loss, increase RBC mass and red cell exchange. verify doctor orders, check for cross matching and typing,
WBC: Treat sepsis that's unresponsive to antibiotic to ensure compatibility. obtain vitals. At least 2 licensed
Platelets: Treat bleeding and improve platelet count preop when < nurses check the label of the blood transfusion (serial
50,000/uL number, blood component, blood type, Rh factor,
Fresh frozen plasma: treat postop hemorrhage, correct coagulation expiration date, screening test). identify client properly
factor deficiency, replacespecific factor, warfarin reversal
Albumin: replace volume lost from shock, burn, trauma, surgery,
(name, DOB). Start infusion slowly at 10 gtts/min. Remain
hemodialysis, infection, and to treat hypoproteinemia at bedside for 15 to 30 minutes. Adverse reactions usually
occur during the first 15 to 20 minutes. Monitor vital signs.
Do not mix meds with blood transfusion to prevent
adverse effects.
Outcomes/Evaluation
Client Education
Maintains normal breathing pattern
Demonstrates adequate cardiac output Client should inform health care professional if
Reports minimal or no discomfort they have had reactions in response to previous
Maintains good fluid balance blood transfusions, if they are taking dietary
Remains normothermic supplements containing iron. Patient will be
Remains free of infection asked to sign papers to consent to transfusion
Maintains good skin integrity, no lesion or pruritis therapy. Educate client and the procedure
Maintains or returns to normal electrolyte and before doing anything. Educate the client on
blood chemistry values why they are receiving blood.
Potential Complications Nursing Interventions
Allergic reactions- Some people have allergic Stop transfusion as soon as a reaction is
reactions to blood transfusion, even when given he suspected. Replace the donor blood with
right blood type. Acute Immune Hemolytic Reaction
is when the wrong blood is given. Hemolytic
normal saline. Examine the blood to
transfusion reaction can cause the most serious determine if the patient was the intended
problems. These reactions can occur when your recipient and then send the unit back to the
ABO or Rh blood type and that of the transfused blood bank. Monitor vital signs.
blood do not match. If this happens, your immune
system attacks the transfused red blood cells. This
can be life-threatening.
ACTIVE LEARNING TEMPLATES
Neda, Lamar, Kennedy
STUDENT NAME _____________________________________
Blood transfusion
SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Description of Skill
A blood transfusion is a routine medical procedure in which donated blood is provided to you
through a narrow tube placed within a vein in your arm.
Indications CONSIDERATIONS
White blood: restore volume lost from hemorrhaging, trauma, or
burns; Exchange transfusion in sickle cell disease Nursing Interventions (pre, intra, post)
RBCs: restore/maintain oxygen-carrying capacity, correct anemia,
surgical blood loss, increase RBC mass and red cell exchange. verify doctor orders, check for cross matching and typing,
WBC: Treat sepsis that's unresponsive to antibiotic to ensure compatibility. obtain vitals. At least 2 licensed
Platelets: Treat bleeding and improve platelet count preop when < nurses check the label of the blood transfusion (serial
50,000/uL number, blood component, blood type, Rh factor,
Fresh frozen plasma: treat postop hemorrhage, correct coagulation expiration date, screening test). identify client properly
factor deficiency, replacespecific factor, warfarin reversal
Albumin: replace volume lost from shock, burn, trauma, surgery,
(name, DOB). Start infusion slowly at 10 gtts/min. Remain
hemodialysis, infection, and to treat hypoproteinemia at bedside for 15 to 30 minutes. Adverse reactions usually
occur during the first 15 to 20 minutes. Monitor vital signs.
Do not mix meds with blood transfusion to prevent
adverse effects.
Outcomes/Evaluation
Client Education
Maintains normal breathing pattern
Demonstrates adequate cardiac output Client should inform health care professional if
Reports minimal or no discomfort they have had reactions in response to previous
Maintains good fluid balance blood transfusions, if they are taking dietary
Remains normothermic supplements containing iron. Patient will be
Remains free of infection asked to sign papers to consent to transfusion
Maintains good skin integrity, no lesion or pruritis therapy. Educate client and the procedure
Maintains or returns to normal electrolyte and before doing anything. Educate the client on
blood chemistry values why they are receiving blood.
Potential Complications Nursing Interventions
Allergic reactions- Some people have allergic Stop transfusion as soon as a reaction is
reactions to blood transfusion, even when given he suspected. Replace the donor blood with
right blood type. Acute Immune Hemolytic Reaction
is when the wrong blood is given. Hemolytic
normal saline. Examine the blood to
transfusion reaction can cause the most serious determine if the patient was the intended
problems. These reactions can occur when your recipient and then send the unit back to the
ABO or Rh blood type and that of the transfused blood bank. Monitor vital signs.
blood do not match. If this happens, your immune
system attacks the transfused red blood cells. This
can be life-threatening.
ACTIVE LEARNING TEMPLATES
