Blood transfusion and Normal saline bag.

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At this forum, there are lots of discussion about blood transfusion and normal saline bag.

Some nurses never use normal saline to prime the infusion line, as they use blood to prime the line.

Other nurses use normal saline to keep the vein open.

Certainly normal saline can be used to flush the line after blood transfusion finishes.

Could anyone please explain some other functions of normal saline bag used in blood transfusion?

On 4/19/2019 at 5:57 PM, AnnieNP said:

Most likely a student unable to do their homework.

Please judge whether I am an Instructor.

Specializes in OR, Nursing Professional Development.
On 4/19/2019 at 6:04 PM, Nursing Au said:

Either you are a student, nurse, pharmacist or Instructor, everyone is welcome.

As Kallies said "This is a public forum, anyone is welcome to join the discussion good work experience or not", it is correct.

On 4/19/2019 at 6:25 PM, Nursing Au said:

Please judge whether I am an Instructor.

In other words, you're avoiding the question. The way you are posting is not the way to generate worthwhile interaction, as your multitude of threads should have demonstrated to you already.

In the nursing industry, there is a big ambiguity regarding whether priming the infusion line with blood is appropriate or not. Even some practitioners with decades of working experience still have different understandings.

The post aims to improve the quality of care and promote patient safety.

Either you participate in the discussion or not, it is your freedom of choice.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
On 4/19/2019 at 8:10 PM, Nursing Au said:

In the nursing industry, there is a big ambiguity regarding whether priming the infusion line with blood is appropriate or not. Even some practitioners with decades of working experience still have different understandings.

The post aims to improve the quality of care and promote patient safety.

Either you participate in the discussion or not, it is your freedom of choice.

So tell us what your literature search has yielded so far and we'll tell you if our experience supports or refutes it.

For the record, I've only ever run blood with D5W. Every hospital I've ever worked at, we used D5W.

On 4/19/2019 at 8:39 PM, TriciaJ said:

So tell us what your literature search has yielded so far and we'll tell you if our experience supports or refutes it.

For the record, I've only ever run blood with D5W. Every hospital I've ever worked at, we used D5W.

It seems TriciaJ demonstrated adequate confidence to join the discussion. It is great. I believe Triciaj has genuine clinical expertise in coincidence with 37 years working experience.

51 minutes ago, TriciaJ said:

So tell us what your literature search has yielded so far and we'll tell you if our experience supports or refutes it.

For the record, I've only ever run blood with D5W. Every hospital I've ever worked at, we used D5W.

As you said, you only run blood with D5W.

Are you sure that it is always correct for patients with diabetes, electrolyte imbalance, renal failure or heart failure?

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
29 minutes ago, Nursing Au said:

As you said, you only run blood with D5W.

Are you sure that it is always correct for patients with diabetes, electrolyte imbalance, renal failure or heart failure?

No. Of course you wouldn't use D5W for patients with diabetes, electrolye imbalance or renal failure. You would use WD40. It's also helpful for patients with RA.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
10 minutes ago, TriciaJ said:

No. Of course you wouldn't use D5W for patients with diabetes, electrolye imbalance or renal failure. You would use WD40. It's also helpful for patients with RA.

DISCLAIMER: If you really are a nurse, PLEASE review your facility policy and have a second RN check before hanging any blood product.

Specializes in Surgical, Home Infusions, HVU, PCU, Neuro.
On 4/19/2019 at 6:04 PM, Nursing Au said:

Either you are a student, nurse, pharmacist or Instructor, everyone is welcome.

As Kallies said "This is a public forum, anyone is welcome to join the discussion good work experience or not", it is correct.

Oh no, buddy don't be trying to take me down with you, I have no part in this attempt at practice enhancement forum. Your post and intention confuse the hell out of me and you are very reluctant to state your area but very proficient at skating around the question.

On 4/19/2019 at 10:01 PM, TriciaJ said:

No. Of course you wouldn't use D5W for patients with diabetes, electrolye imbalance or renal failure. You would use WD40. It's also helpful for patients with RA.

Thanks TriciaJ. I believe you are a great nurse.

According to your reply "wouldn't use D5W for patients with diabetes", are you sure this practice is always correct for patients with diabetes?

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
On 4/19/2019 at 10:19 PM, Nursing Au said:

Thanks TriciaJ. I believe you are a great nurse.

According to your reply "wouldn't use D5W for patients with diabetes", are you sure this practice is always correct for patients with diabetes?

Here's what I am sure of: you have probably spent a lot of time and money on your education so far. Do you really want to entrust your future career to random strangers on the internet? Are you sure you want me to answer the rest of your homework questions?

Specializes in Surgical, Home Infusions, HVU, PCU, Neuro.
58 minutes ago, Nursing Au said:

As you said, you only run blood with D5W.

Are you sure that it is always correct for patients with diabetes, electrolyte imbalance, renal failure or heart failure?

To any new nurses reading this PLEASE do not hang blood with D5W unless you are planning to hemolyze your PRBC's and defeat the intent of the infusion, to begin with, and do not spray WD40 on your patients with RA pain, you may be able to use it on a squeaky prosthesis though.

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