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
whatis a prokaryotic cell? explain its structure and description with images

Q. Why is the digestive system of these animals called incomplete? Incomplete digestive system is in that which the digestive cavity has only one opening.

Q. Determine ST-Segment Elevation? Ans. Exercise induced ST-segment elevation is common in subjects with post MI stress tests in leads where Q-waves are present. It has be

Explain the process of Absorption of Fats? After digestion, only 25% of triglycerides are broken completely to glycerol and fatty acids. Major digestion product is 2-monoacylgl

Cost due to Injury to Worker Medical cost - medicine, surgery, hospitalization, extended treatment. Working time lost due to injury or death. Time loss of cowork


Proteolytic enzymes They catalyze the hydrolysis of peptide bonds in other proteins. In order to prevent them doing generalized damage to all cellular proteins, they are often

Alcohol Related Emergencies: Alcohol is one of  the most serious health problems. Alcoholism is defined as a primary or chronic disease with genetic, psychological and environ

The eukaryotic cell The eukaryotic cell is a complex unit and contains many structural features not seen in in the simple prokaryotic cell. Fig below shows the details of vario

Q. What do you mean by Blackcaps? Blackcaps are small songbirds found throughout Europe. A large population of blackcaps inhabits the forests of Germany. These blackcaps have t