Question

Lisa is 6 year old receiving chemotherapy through a central line to treat childhood malignancy. Her Hemoglobin and Hematocrit is currently 7 and 22 and she is to receive packed cells. Which of the following should be priority in her plan of care?

1. Start a secondary large bore IV
2. Administer Zofran prior to administration of the blood
3. Administer O2 via nasal cannula
4. Anticipate the need for protective isolation

Answer 1

The patient already has a central line through which the transfusion can be done ,so a secondary IV line will not be necessary

Antibiotics are not necessary until an infection is suspected

O2 may be needed if the patient has dyspnea

A drop in haemoglobin is common in chemotherapy patient which poses the patient at risk of getting infected very easily.

Ans :d.Anticipate the need for protective isolation