hi everyone, i hope some of the nurses with experience in transfusions can help me with some general questions. i always fell all-thumbs around transfusions and hope i can get more comfortable soon. i've been a nurse actively for 3 years, but not fully on medical-surgical so at times feel nervous. please give me some guidance...thank you!
1) lets say there is only one iv in place for transfusion, can you use the same line for both blood and platelets (i mean, infusing one product and then the next once the line has been flushed with saline)? and say for example after these transfuse, and you get an order to give albumin, can you use that same iv site? i know this is theoretical but, could one use that same site for ivig??
and what about, is it possible to run blood and platelets at the same time using the y tubing? so for example, instead of blood and n/s, blood and platelets would be infusing, and another bag of saline in a minibag hanging on it's own? i'm sorry if this sounds off the wall but i really don't know! and
2) if you have only one line and a continous iv med going in (say for example pantoloc drip on penecillin G drip going slowly) and then get an order to give blood would you stop those infusions to use it for the blood and then restart those infusions later, or would you put in another line??
3) continuing with question 2, say you have to give blood as well as other infusions, could you use the same iv site with a y-connector or with a 3-way connector (i have seen saline locks converted to these types). how do would i know i can safely infuse blood as well as another infusion Y-d into the same site?? for example, i just know you cant have blood contact any solution with calcium, but what about others?
i also wanted to know about heparin and what to do?? so for example if a person was on n/s at 100 cc/hr and then you are required to start heparin line but only have one iv site what is the best set up in this case and how best to set up the pump. for example i have noticed that heparin is usually always set as the SECONDARY at whatever rate, say 18cc/hr, and then n/s as the primary at say 30cc/hr (like a carrier); and then the n/s on its own pump at 100cc/hr into a separate iv site. is this the best way?? or would it be better just to have the heparin going at 18cc/hr and have the n/s going at 100cc/hr y'd into the lowest port? i am very confused about this.
another burning question--what exactly is an i.v. loop connector and how do you use it?? ive never seen them used actually on my floor but theres tons in the supply area--they don't screw into the luer lock and both ends of the u-shape are female (one bigger, one smaller)
thank you for any help you can give me to clear the confusion...it's like what you get in the book is totally different from the real world!