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Question Procrit on same day blood transfused?

Posted

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Has 28 years experience.

Say an MD ordered procrit due to anemia, another doc orders a blood transfusion. Do you give the procrit that day?

caroladybelle, BSN, RN

Specializes in Oncology/Haemetology/HIV.

Depends on the cause of the anemia. And the H&H.

If the patient is in nadir from chemotherapy, it understandable. The MD is correcting an immediate shortage of RBCs and giving the procrit to help prevent an expected future anemia. It will take a while for the procrit to elevate the level of RBCs, and the body tends to break down the transfused cells quicker. It is also done for some chronic blood disorders and anemias.

If it is a surgical situation, it is more questionable.

PM with details if appropriate and more info needed.

Carolina

Tweety, BSN, RN

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Has 28 years experience.

It's a hemetological/medical anemia, not surgical. But not chemo related.

We give Epogen and Blood in the same day. Usually the people that need blood are those long term anemic that are on Epogen as a standing order. Blood is given to help them get their H+H up. Most often seen on our floor with the folks with kidney problems as they have many co-morbidities.

caroladybelle, BSN, RN

Specializes in Oncology/Haemetology/HIV.

There are many anemias (hem disorders) where that would be appropriate.

But the Hemodialysis patient, also is a very good example. They are frequently on epogen, but may also require transfusion at the same time.

transfusion dependant patients need the 7. something hgb taken care of today. The procrit is an investment in tomorrow's stimulation of the patients own bone marrow.

Tweety, BSN, RN

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Has 28 years experience.

Thank you very much for your input. That really helps a lot.

Hopefully, I can educate a few of my coworkers who were a bit misguided yesterday.

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