A nurse is preparing to administer 1 unit of packed RBCs to an
adult client. Which of the
following actions should the nurse plan to take?
a. Slow the transfusion rate if the client reports itching
b. Prime the IV tubing with 0.45% sodium chloride
c. Complete the transfusion within 2hr
d. Administer through a 22-gauge IV catheter
1) b. prime the IV tubing with 0.45% Sodium chloride
The nurse must check the vital signs just prior to the infusion of blood and blood products. The nurse should remain with and monitor the client for atleast 15 minutes. The tubing can be primed with 0.45% sodium chloride or the component itself. Tubing should be flushed with sodium chloride before and after transfusion. this helps to the any residual blood left in the administration set and it flushes the line fore later use. it is a standard practice at many hospitals. Saline as a prime used to increase blood volume when a blood transfusion is not possible.
2) a,c,d are incorrect
if the client is reporting itching immediately stop the transfusion
blood transfusion between 2-4 hrs of time is recommended
for adult always go for 20 G IV canula.
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