Implementation of nursing care for thalassemia patient, Biology

Implementation of Nursing Care 

Prepare the Patient for Diagnostic Evaluation

Your role as a nurse is to provide continuing support to the child and family during diagnostic studies and prepare the child both physically as well as psychologically  for such studies. 

Administration  of Transfusion Therapy

Children who cannot maintain a haemoglobin level of about 7 mg/dl receive regular transfusion tharapy to prevent chronic hypoxemia and  to suppress ineffective erythropoisis. Frozen RBC packed cells less than a week old should be used. Prevent and watch for transfusion reactions. Regulate the rate so as to prevent volume over  load or cardiac failure. 

Nursing Care During Blood Transfusion 

  1. Your first responsibility is to identify donor and recipient blood types and groups on lables and patient's charts. Ensure that blood is administered slowly. 
  2. Check the intravenous site frequently for infiltration. Observe the patient for transfusion reactions which include, chills, itching, rash, fever, headache and pain in the back or other parts or body. 
  3. Clamp off the tubing immediately if such rection occurs in the patient and report to your senior. You should not remove the needle unless you are specifically instructed to do the same. 
  4. Maintain the patency of  tube by opening the saline line if blood has been stopped. This will ensure administration of neccessary medications and preservation of vein for further infusions. 
  5. Always use infusion pump to regulate flow of blood or fluid to prevent the danger of circulatory over load in children. 
  6. Watch for complication which include, dyspnoea precordial pain and distended neck veins. There can also be a danger of air emboli or electrolyte disturbance. So you need to be alert particularly in case of a child who needs repeated transfusion. 
  7. You should save the blood bag and  tubing if  the transfusion reaction occurs and return the same to blood bank depending upon the policy and routine of  your hospital. Mostly the reaction occurs within first 10 minutes of administration, but you should carefully watch the child  thoughout the treatment. 
  8. You  have to administer drugs such as Benadryl for allergic reaction, and aminophylline for wheezing if  they are prescribed by concerned physician. 
  9. Always prewarm the blood to be administered to prevent cardiac arrhythmias. 
  10. You should always monitor vital signs, temperature, pulse, respiration and blood pressure before transfusion and monitor changes.  
Posted Date: 10/26/2012 9:27:09 AM | Location : United States







Related Discussions:- Implementation of nursing care for thalassemia patient, Assignment Help, Ask Question on Implementation of nursing care for thalassemia patient, Get Answer, Expert's Help, Implementation of nursing care for thalassemia patient Discussions

Write discussion on Implementation of nursing care for thalassemia patient
Your posts are moderated
Related Questions
Define Deficiency and Toxicity of Vitamin D? Infants constitute a population at-risk for vitamin D deficiency because of relatively large vitamin D needs brought about by their

A 70-year old woman presents with a 1-hour history of crushing substernal chest pain. Shortly after admission, the patient expires. An autopsy reveals calcium deposits in the intim

Q. What treatment should be used for constrictive pericarditis? Medical Treatment 1) Judicious use of diuretics to alleviate systemic congestion. This may be enough in s

Define Elongation phase - mechanism of protein synthesis? Elongation: RNA polymerase moves along the DNA and sequential synthesizes the RNA chain. There is the repeated cycle o

Explain the NATURAL HISTORY OF CORONARY ARTERY DISEASES (GAD)? The natural history of CAD is very important from the preventive point or view. Though the usual manifestations o

If we make a cross of two phenotypically WT zebrafish, and we get the following results, what can we say about the genotype of those two WT looking parents from the following resul


The next step in the nitrogen cycle is the assimilation of inorganic nitrogen in the type of ammonia into organic nitrogen-having compounds. Total organisms assimilate  ammonia  by

What is the Nature of Monosaccharides? Monosaccharides are colourless, crystalline substances which are soluble in water but insoluble in non polar solvents. Monosaccharides ca

KIDNE Y (RENAL FAILURE) - RF - Partial or total inability of kidney to carry excretory functions is called RF. It leads to uremia (excess of urea in blood), salt-water imba