Hematology

Download Clinical Transfusion Medicine by Joseph D. Sweeney PDF

By Joseph D. Sweeney

This instruction manual specializes in the basics of medical transfusion. particular counsel at the administration of alternative medical occasions is the target so that it will facilitate scientific determination making. This guide fills a void among the minimum info in most cases textbooks of medication, surgical procedure, anesthesiology, and so forth. and the extra distinctive texts to be had within the box of blood banking and transfusion drugs

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In addition, sampling should be avoided from the IV site used for transfusion in the period during and immediately after a transfusion. Red cell products have an Hct of 55-60 and could cause an erroneous blood count result. Stored blood contains high concentrations of potassium (30-50 mEq/L) and glucose (300-500 mg/dl) which may cause confusion in the interpretation of chemistry tests. 8 40 Clinical Transfusion Medicine Blood Transfusion in Surgery I: Ordering Practices and Transfusion Styles 9 Approximately 50% of all red blood cells are transfused in association with surgical procedures, many of which are elective in nature.

Inspection of the blood bag for product appearance and any leaks. 3. Ensure that the administration set has an in-line filter. 4. 9% saline. 5. If a mechanical pump is used routinely, information regarding lack of hemolysis is appropriate. 6. If blood warmers are used, these should be quality controlled at least semi-annually, or more often, depending on use. 7. Vital signs should be taken before the transfusion. 8. , acute hemolysis, bacterial sepsis, or anaphylaxis. 8 9. The duration of a red cell transfusion is optimally 11/2 hours, but should not exceed 4 hours.

Sign the tube verifying confirmation of identification. 2. ABO typing of specimen. 3. D typing (Rhesus) of specimen. 4. Screening the serum for unexpected antibodies (called screening or; indirect coombs or; indirect antiglobulin test). 5. (a) If #4 is negative (normal), linking the ABO type of the donor unit with the ABO type of the intended recipient. (b) If #4 is positive (abnormal), linking unexpected antibodies in the recipient with antigen negative donor units. 6. Correctly identify the recipient at the time of blood administration.

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