We frequently have extremely elderly patients with heart failure and multiple co-morbidities who require blood transfusions. The physician wants the 350ml Packed Cells administered over an hour and doesn't provide an order for frusemide. Is this volume enough to overload an already compromised patient? IF so, what is your standard over in the U.S for duration of transfusion of Packed Cells for such patients.
And, I'd be extremely grateful if someone could tell me why vaccines, heparin, Enoxaparin etc are given via DEEP subcutaneous injection. I can't find the rationale for it to be deep, less pain receptors in the deep tissue????
Jun 20, '11
by Ashley_RN, BSN
We give lasix between infusions for those at risk of being fluid overloaded. If necessary we split the 1u of PRBC to allow the adminsitration of lasix in between. Have you tried asking them their rationale for not doing so? Is this scenerio happening with all your CHF pt's needing transfusions or are you speaking of a specific case?
Last edit by Ashley_RN on Jun 20, '11