How fast is too fast to transfuse blood? - page 6
I have been trying to find a clearer answer to my question. I am a new nurse and new to transfusing blood. I know to get the blood in within four hour time period, vitals, priming, etc... My... Read More
Sep 15, '11 by misswoosieProvides some useful information
Interesting to see the differences in the recommendations from BD/INH and UK for catheter sizes.
Sep 29, '11 by turnforthenurse, BSNI have been taught to have AT LEAST a 20 gauge to transfuse blood. Any smaller will cause damage/hemolysis of the RBCs. Last night I had to transfuse some blood to a patient, and the patient had 2 IV's - a 22G and a 20G. I flushed the 20G prior without problems, but then when it was time for me to hang blood, the IV was no good Luckily we were able to get a brand new 20G in the patient and I was still able to start my blood within 30 minutes Last night I was also told that if a 22 gauge is all you have, then you use it to transfuse blood...you will just have to run the blood at a slower rate.
I usually start at 75mL/hr, see how the patient does, then up it to 125mL/hr. If the patient has CHF, I slow it down to around 100. Be diligent with monitoring and teach the patient which signs and symptoms to look out for and to report to you immediately, if something happens in between the last time you checked on the patient and the time you check on them again.