Hematology unit 2

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Author:
Anonymous
ID:
8862
Filename:
Hematology unit 2
Updated:
2010-03-02 18:30:17
Tags:
Nursing
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Description:
blood yadda yadda
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  1. Goals of blood transfusions (3)
    • Replace volume
    • Preserve or increase O2 carrying capability of the blood
    • Preserve or increase clotting
  2. Transfusion complications: overload
    coughing, inc pulse, dyspnea and edema. (like w HF)
  3. Air embolism
    • More common is bl is being pumped. pt will experience CP, SOB, shock.
    • DC blood and keep line open, then on side a lower head.
  4. Allergic reaction
    • May experience sensitivity to one of the antibodies--alergic reactions such as itching, wheezing, fever, can go into chock.
    • Stop bl and monitor
    • Give antihistamine IV to reduce fever. if serious--steroids
  5. Hemolytic reaction
    • pt is transfused with incompatable blood.
    • N/V, back pain, hypotension, inc pulse, oliguria and hematuria.
    • DC bl and keep line open and monitor for shock
  6. Pyrogenic Reaction
    • pt dev antibodies to the donors platelets and white cells
    • Fever, chills, N, HA, heart palpitations
    • DC bl and kep lin open
    • Give antipyretics-treat w steroids
  7. RBC DISORDERS------
    Anemia
    conditoin that inplies low RBC count and dec Hgb and/or Hct. Insufficient Hgb to diliver O2 to tissues, leading to hypoxia.

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