Reference no: EM133854161
Assignment:
1. Document your focused postoperative assessment for Lloyd Bennett.
2. Document Lloyd Bennett's vital signs during the transfusion reaction.
3. Document the priority nursing actions completed during the transfusion reaction.
4. Identify and document key nursing diagnoses for Lloyd Bennett.
Summary of the case study
Lloyd Bennett is a 76-year-old male who was admitted through the Emergency Department 2 days ago with a femoral head fracture sustained in a fall outdoors and underwent left hip arthroplasty. All drains have been removed. Provider changed the dressing this morning, and the dressing is currently clean, dry, and intact. Patient has complained of fatigue with physical therapy and does not tolerate changes in position without dizziness. Complete blood count this morning identified hemoglobin of 7 g/dL. The provider has ordered two units of packed red blood cells to be given. The lab has called and the first unit is ready
The blood bank sent the blood to the unit and when the nurse initated the blood transfusion, Patient was having a hemolytic reaction( back pain, feeling feverish etc), the nurse stop the transfusion and run an iv Normal saline, call MD and informed the blood back
The nurse verify the blood with another RN on the unit, before administering the blood.