Blood Transfusions Question??

[jk2185]

How fast do you run in a unit of PRBCs? CHF patient? Elderly patient? What's the fastest you've run PRBCs in?Do you always pre-medicate? and if so, with what?Ever found it harder to infuse through certain types of access? Ex: Ever messed up a chest port or other central line from infusing products??Ever had a patient with a reaction? What happened?What about other products such as cryo, FFP, or platelets.I'm gathering data to better my own practice because most times I'm going based on feel (and evidence, of course).

[Lev, MSN, RN, NP]

Sounds like TRALI. Often transfusion reactions require a cxr because this is a risk.

Unless that women went into full blown pulmonary edema and was on the verge of arresting, it was not TRALI. Sounds like fluid overload or allergic reaction.

[Mia415]

Always know your unit policy and if MD order is different then you should clarify. I'm no longer working inpatient but I can tell you what we used to do in postpartum for low H&H. Infuse over 4 hours, 2 RN double check upon hanging, RN must stay directly at the bedside for 15 mins to assess for reaction, VS q 15 for first hour, then q30 then hourly. Faster infusions are more likely to cause a more severe reaction if one was gonna happen anyways, and it can also cause discomfort and malaise for the patient. I never worked in critical care though. I like my patients stable lol.

[AZQuik]

Can't quote for some reason, but @ Lev