Published
We always infuse over 3 hrs unless the order specifies otherwise. We use the alaris pump so I just program it in at 100ml/hr for 300ml and never have a problem.
We also usually infuse over 3 hours typically and always use an alaris pump as well. Anything over 4 hours and there's an increased risk of lysis or bacterial proliferation.
I've run it in in about an hour before on patients who were severely low in their counts. They didn't have any adverse affects.
At my facility, blood that is hung for longer than 4 hours is expired due to the risk of clotting in the bag. There are no exceptions. You need to check your policy as this is typically the case across the board.
In that rate arent patient at risk for congestion?
As a former oncology nurse, I can tell you that you have 4 hours to transfuse a unit of blood and if you are worried about congestion then get an order for lasix from the prescribing doctor. Most of the time I am giving 2-3 units of blood with lasix in between each unit.
NewlyGradBSN
128 Posts
Just wanted to get your opinions on this. I currently work in the medsurg unit. We have this patient for transfusion of half of fresh whole blood. Her hgb levels were in the 90s mark. She had cancer as well and her weight was estimated at 70kg. Her transfusion was ordered for four hours, so by protocol i identified the patient correctly, i infused the blood slowly at first to monitor for reactions. At the second hour mark, i saw that my blood was still 3/4 despite constantly regulating. The blood as consumed at the 5th hour. At the end of the bt, patient's vs increased and dob was noted. Dr were informed and they gave furosemide and neb after. Bt rate was decreased to 6hours. My questions are: what is the safe rate of blood transfusion per volume? For example, was it safe to infuse it longer than 4 hours and or lesser than 4 hours?