blood transfusion - page 3

when do you use leukodepleted blood versus untreated blood? what is the difference and what are technology risk? For example, in patients with anemia or for OR?... Read More

  1. Visit  GrnTea profile page
    1
    Quote from squatmunkie_RN
    Why is it so wrong for a student to get an answer here?
    Again, a question that doesn't really need an answer, as it bespeaks an intability to think of one in the first place. Why wouldn't people who know far more than the student asking a question be willing to leap in and rescue with the answer, even if it is for homework?

    Innumerable times you will see someone on AN who cares enough to spend their valuable time patiently helping students because s/he finds it personally rewarding to help future practitioners of our profession gain the knowledge and thinking skills they'll need to be good nurses. Alas, leading a student through guided discovery is is not the same as "giving a student an answer."

    Sometimes the answer isn't merely a fact, but a way of analyzing a question or problem -- the old "critical thinking" that is irreplaceable in nursing. Students have to learn that too, because without it they will not be able to practice.

    P.S.: "Critical thinking" doesn't mean "thinking about criticizing" in the way most people think. Look it up.
    psu_213 likes this.
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  3. Visit  nextdoorguy profile page
    0
    this is my dilemma
    Quote from nextdoorguy
    sorry for the late reply. this isnt an assignment. it happened here in my workplace, this homecare center in india. the order was to transfuse leukodepleted blood to this old guy who has been in our unit for quite some time. the blood unit was divided into two to prevent congestion i guess. this guy also has thalassemia. the blood came it was checked by the doctor. it was checked by the nurse and co nurse. it was hooked as side drip. later that we realized that it was not reduced with wbc. what harm would it have done to the patient. nothing happened to him though.
  4. Visit  deft profile page
    1
    You may have had a wbc reduction filter on the tubing if you use specific ones for transfusion.

    WBCs job = attack foreign materials

    Transfused donor WBCs will attack the patient, but are not replenished by marrow and killed off by the patient's immune system.

    If the patient is immunocompromised/elderly/blah blah .... well i think you get the picture

    There is also the potential that a normal immune system wont recognize donor WBCs as foreign due to genetic similarities.

    In your case, leukoreduction was a preventative measure and if nothing happened then all is well.
    nextdoorguy likes this.
  5. Visit  classicdame profile page
    0
    leukocyte filtered is what we use when the order is for RBC's. We no longer use whole blood. Being filtered helps lower the risk for TRALI.
  6. Visit  nextdoorguy profile page
    0
    Quote from deft
    You may have had a wbc reduction filter on the tubing if you use specific ones for transfusion.

    WBCs job = attack foreign materials

    Transfused donor WBCs will attack the patient, but are not replenished by marrow and killed off by the patient's immune system.

    If the patient is immunocompromised/elderly/blah blah .... well i think you get the picture

    There is also the potential that a normal immune system wont recognize donor WBCs as foreign due to genetic similarities.

    In your case, leukoreduction was a preventative measure and if nothing happened then all is well.
    thanks for that, an elderly patient did not react. there was no fever no nada. thanks you helped me have peace of mind


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