kimblain Posted June 19, 2012 Share Posted June 19, 2012 3 questions...1. Is there something in your nursing procedures stating that a transfusion should be started slowly the first 15 minutes and what is the rate?2. Do you routinely premedicate with Tylenol and Benedryl? Possibly masking transfusion reactions?3. What is your policy in starting transfusions in patients that already have a fever?Any feedback would be appreciated Link to comment Share on other sites More sharing options...
Bill Posted June 20, 2012 Share Posted June 20, 2012 1. Yes--90 ml/hr.2. Only if previous transfusion with fever or hives.3. Fever OK--look for 2 F rise in temp.Hope this helps. Link to comment Share on other sites More sharing options...
Mabel Adams Posted June 20, 2012 Share Posted June 20, 2012 AABB website has a Blood Administration Primer that includes info like the rate and lots of other good nursing stuff. Might be available to members only I suppose. Hmm. Wonder if we could get it on here somehow. Link to comment Share on other sites More sharing options...
estiner Posted June 21, 2012 Share Posted June 21, 2012 Our nursing procedure states to start the transfusion slowly (5ml/min or less) and observe patient carefully for symptoms (direct observation) for the first 15 min. After 15 min, recheck the vitals and if okay, speed up the rate to finish within the 2-4 hr timeframe. Link to comment Share on other sites More sharing options...
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