Published Nov 18, 2007
jwsw13
5 Posts
Hi, i'm Sitting an exam in two days..and need some help...
Which soluion can be used to prime the infusion set prior to a blood transfusion?
a) isotonic Normal Saline
b) 3% Sodium Chloride
C) 5% Dextrose solution
D) Aminophylline solution
i'm thinking A for some strange reason? would that be it?
Scrubby
1,313 Posts
Ummmm it's been a while since i've had to do this sort of thing but i'm pretty sure you prime the line with normal saline first.
Silverdragon102, BSN
1 Article; 39,477 Posts
Have always primed with normal saline
nurse-sigh
3 Posts
You can only prime a line with Normal Saline. You can also only flush a line in between bags with normal saline. Hope this helps and good luck with your exam.
IVRUS, BSN, RN
1,049 Posts
You would want to choose option A.
It is the only "acceptable" answer.
Why?
Well, A 3% Sodium Chloride solution should only be used for pt's with severe Hyponatremia that present with neurological syptoms. It is also a vesicant.
D5W or option C is dextrose or sugar in water. Because this is a hypotonic solution in the body ( the dextrose is quickly metabolized and your left with free water ) it causes osmotic shifts and may lyse (or explode) the Red Blood Cells.
In addition, Aminophylline is a medication and you don't want to use it to prime your line. Your first concern is compatibility (or the lack thereof).
Hope this helps.
Hi, i'm Sitting an exam in two days..and need some help...Which soluion can be used to prime the infusion set prior to a blood transfusion?a) isotonic Normal Salineb) 3% Sodium ChlorideC) 5% Dextrose solutionD) Aminophylline solutioni'm thinking A for some strange reason? would that be it?