Petra81

I have a question about fluid overload in blood transfusion versus LR bolus. When we transfuse blood I was toldd that I can't do it faster than 340 ml/2hr unless patient is actively bleeding out, then it's as fast as possible. Reasoning behind it is that if patient gets too much blood too fast her heart will not handle the fluid overload and her lungs might become edematous and in worst scenario she can have a heart attack. So why it is not a problem with LR which we infuse many times in less than an hour. Is it the composition of blood that it's making it more stressful for the heart?

Hello all, I've been nurse only for a year and a half and I made lots of little mistakes in the beginning. Finally , lately it seems like I was doing better but today I made a mistake of infusing blood too fast. (asked wrong person ) It seems like I keep making one mistake after another and my confidence is spiraling down and so is my credibility with my colleagues. When I use to be musician, if I wasn't doing well, I just locked myself in room and practiced and practices. But there is nothing to practice in nursing. There is always something new coming your way. I LOVE my job and am very happy as a nurse, but it seems that I'm not talented in it. I'm getting depressed and wandering if I should change career and go work to McDonalds :/ Any advice?