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
Skin puncture: skin puncture is usually done when small volume of blood is needed (e.g., blood glucose test) to avoid unnecessary venipuncture. However, skin puncture in

Define Fat requirements in human body? There is no change in fat digestibility at altitude of

Explain about thiol proteases Group of  thiol proteases, similar in structure to each other, are found in plants. These include  papain from the papaya fruit and  ficain from f

Q How different are extracellular and intracellular digestion? What is the evolutionary advantage of extracellular digestion? Intracellular digestion is that in which the break

Skeletal muscle A. The myosin head is activated (energized) by the conversion of GTP (that is bound to myosin) to GDP and Pi (that are bound to myosin). B. Detachment of the

Which type of cell came first in evolution - the eukaryotic cell or the prokaryotic cell? This is an interesting problem of biological evolution. The most accepted hypothesis a

PROVIDE a specific example for epithelial and connective tissues, how the arrangement of cells helps with tissue functioning?

BIOLOGY IN DISPELLING MYTHS AND MISBELIEFS - Varieties of myths still exist in our society, and can be removed by the knowledge of Biology. Some of these are- 1.       Snake

Diagnostic Evaluation   A  study of complete blood count (CBC) and blood chemistry mainly uric acid levels, is necessary for dignostic evaluation.  Radiologic  studies  are

please help me with the general characteristics of the following classes:1.mammalia,2.ostichthyes,3.cyclostomata,4chondrichthyes,5.amphibia,6.reptilia