[KimberlyRN79]

What is your protocol for blood transfusions? Does anyone still pre-medicate patients with Tylenol and/or Benadryl?
Kimberly

[willie2001]

Originally posted by KimberlyRN79:
What is your protocol for blood transfusions? Does anyone still pre-medicate patients with Tylenol and/or Benadryl?
Kimberly

If the patient has blood transfusions on a regular basis(ie: cancer/leukemia pt.) we routinely premedicate with Tylenol and Benedryl. We also use leukocyte filters on these patients.

[123lisa]

gave one unit today on a med/surg unit and no premeds!

[CashewLPN]

its not protocol, but some MD's order it...
--Barbara

[CC NRSE]

We give blood on a regular basis and never pre-med unless the patient has a known hx of transfusion reaction. We use benadryl and solumedrol. In 3 years, I've only had to premedicate one time!!!

[ornurse217]

Unless the patient has had repetitive transfusions then we do not premedicate. We also use leukocyte reduction filters.

[nsmith_rn]

only with a pre - existing condition
hx of reactions
CHF

[JillR]

We pre-medicate if the doctor orders it. Have done it both ways.

[nosilanurse]

Like most everyone else we only pre med when order and that is usually on our AML pts and Stem Cell pts, we also use tylenol and benadryl however we dont use leukocyte filters just are regular blood tube system filter