Half way through the PRBC transfusion you assess patient A and complete another set of vital...
Half way through the PRBC transfusion you assess patient A and complete another set of vital signs. HR: 102, BP 105/59, T 38.6C Your patient is now complaining of being itchy and you find raised red bumps on the patient’s arms. What do you do next?
Homework Answers
The patient complains of being itchy, there are raised red bumps on the patient’s arms and the patient's body temperature is elevated (38.6C).
It is clear signs of a transfusion reaction. Then next
- The nurse should first stop the infusion and then disconnect the iv line.
- Inform the treating doctor.
- Monitor vital signs and ECG.
- A blood sample should send from the patient to rematch with transfused PRBC.
- Administer normal saline.
- Measure intake and output strictly. (To know kidney damage)
- .Administer Furesamide and Dopamine according to the doctor to increase renal perfusion.
- Administer acetaminophen for fever and pain.
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