For a patient following total knee replacement transferred from recovery room to a surgical ward, two main methods to place a bed pan for bowel can be using a Trapezium bar or logging roll the legs. However, it is not supposed to log roll the legs t...
If blood transfusion causes adverse reactions, some medications such as antihistamine would be given as per the doctor's order. My patients didn't have adverse reactions. I don't have the opportunities to practice IV antihistamine associated with blo...
The dressing requirement of a surgeon after removing JP drain associated with total hip replacement is to cover the insertion site with Steri-strip, Combine gauze and Elastoplast. Without an occlusive dressing, the insertion site is potentially at ri...
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. Cert...
Nursing Au replied to Nursing Au's topic in Infusion
As Kallies said "This is a public forum, anyone is welcome to join the discussion good work experience or not", it is correct. Let's begin the next round of discussion. Is priming the infusion line with blood a wrong practice?
Nursing Au replied to Nursing Au's topic in Infusion
Thanks TriciaJ. Your previous participation at this forum would be a great bonus to the forum. Did you check the response from other members at this forum? I believe you are a great nurse. Perhaps you did some typing errors in your previous posts. It...
Nursing Au replied to Nursing Au's topic in Infusion
The original post aims to let younger members lack of experience to check the response from some members at this forum. It is not expected for some younger members to blindly follow on what some other members said at this forum, as these younger memb...
Nursing Au replied to Nursing Au's topic in Infusion
The next round of discussion is as follows: Is priming the infusion line with blood a wrong practice? Any nurses with 35 years working experience are welcome to join the discussion.
Nursing Au replied to Nursing Au's topic in Infusion
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?
Nursing Au replied to Nursing Au's topic in Infusion
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?
Nursing Au replied to Nursing Au's topic in Infusion
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.
Nursing Au replied to Nursing Au's topic in Infusion
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 t...
Nursing Au replied to Nursing Au's topic in Infusion
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.
Nursing Au replied to Nursing Au's topic in Infusion
Massive Transfusion Protocol could be quite different from general blood transfusion guideline. It aims to improve patient survival regardless of potential risks. However, once the risk of TRALI arises, the transfusion nurse could be quite busy at wo...
There is one post from an ICU nurse on the forum: https://allnurses.com/blood-transfusions-how-fast-go-t111999/ ------------------ TWO bags of PRBC's and ran them both in at 500cc/hr. They were both infused (per #20 peripheral IV's) within 45 minutes...
Your reply "A prolonged QRS is always originating from a conduction issue. (BBB, Ventricular pacemaker, elevated K+)" is not complete. Type 1C antiarrhythmic drugs can potentially cause prolonged QRS and QT. Some patients at a cardiac ward are likely...
Nursing Au replied to Nursing Au's topic in Infusion
According to some clinical guidelines about blood transfusion, both priming the line with blood and priming the line with normal saline are acceptable. In real practice, both priming skills are in use at many different hospitals. Let's begin the dis...
Nursing Au replied to Nursing Au's topic in Infusion
With more members joining the discussion, the quality of care will be improved and patient safety will also be promoted. As Kallies said "This is a public forum, anyone is welcome to join the discussion good work experience or not", it is absolutely ...
Nursing Au replied to Nursing Au's topic in Infusion
The post aims to open discussion, improve quality of care and promote patient safety. If you have good working experience, you are more than welcome to join the discussion.