I have been trying to find recent info about this and it's driving me crazy because I'm getting conflicting info r/t infusing plasma. I had an order to infuse 3 units FFP's on an 81 female last night. I infused them over about 30min/unit, and administered IV Lasix after the last unit per MD orders.
My question(s) is:
Was it okay to infuse via 22g IV cath? And over the 30mins?
Keep in mind, she is in her 80's. And I've read that some people don't use pumps, but on the floor (non-ER, for example) we use pumps for basically everything at the hospital I work, and I used a pump like any other time for any other blood product I've administered. I've also read the rationales that for venipunctures, we use butterflies that are 23g or even 25g for lab draws. And for peds, smaller angios are generally used. Generally when we do PRBCs, we prefer 20g as the smallest.
I am worried sick that I dropped the ball by not placing a 20g, mainly because the dayshift RN I gave report to was questioning this and made it seem like I did something wrong (which I hope I didn't and I need your help!). I can't sleep and I'm stressing myself out.
Pt has cirrhosis, hep, and ascites. She tolerated all three units, no s/s of reaction. VSS (bp increased from SBP 100's to 120's), but not elevated, and to be expected).
I'm sorry this ended up long, but I really appreciate some info here. I've been a nurse for about a year and a half and it seems whenever I start to gain some confidence, something happens to throw me off or question myself/stress (but that's a different thread