Care plan blood transfusion

hypezgirl84 · Mar 09, 2009 06:42 PM

So today I had a client today who the moment I walked in needed 2 units of blood as an SPN I can’t do much aside from taking vitals and stopping the blood an assessing for a transfusion reaction, however I have to write a care plan for tomorrow, I have all of his labs and the reason for the Blood was his hemoglobin was at 7.8 , with the normal range being 13.5-17.5. So upon discussing my pt with my instructor she suggested to make a diagnosis involving the blood transfusion. All of his vitals were stable BP 97/59
T-97.4 PO98 pulse 68 Respirations 20 Pain 0/10 BGM 110 no complaints of dizziness Input and Output were sufficient. So is there any ideas as what diagnosis I should use?

Pleas help!

*Daytonite* · Mar 10, 2009, 09:30 AM

A blood transfusion is a medical treatment ordered by the doctor to treat a symptom that the doctor found when he assessed this patient and found the symptoms of the anemia. People are anemic and need blood because

they are bleeding and loosing blood (blood loss anemia)
they have some other type of anemia, commonly the absence of a component needed for the formation of the RBCs or a genetic error in their synthesis (aplastic, iron deficiency, sickle cell)
they have kidney disease which also affects the ability of the body to replace its supply of RBCs

To care plan this I would first consider what the symptoms would be of having low RBCs. Were they corrected with the transfusion? If this information is not available to you about the patient, then I would consider the complications and implications of transfusion that could happen down the line for a care plan. This would require looking up what happens to a foreign RBC that enters a person's body and how their system deals with it, what precautions the patient should take post-transfusion. There is information about transfusions on post #5 of this sticky thread: http://allnurses.com/nursing-student-assistance/any-good-iv-127657.html - Any Good IV Therapy or Nursing Procedure Web Sites.

Care plan blood transfusion

Care plan blood transfusion

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