Question

Catherine Cooper is a 68-year-old woman scheduled for a right total knee replacement in 6 weeks. She has a history of previous injury from years of playing tennis and basketball. She states that she is concerned about the possibility of receiving a blood transfusion. She has read stories of people contracting diseases and viruses, and her friends have told her about someone who became very ill from a transfusion.

1. You are conducting Ms. Cooper's preoperative planning. How should you respond to her concerns?

2. Ms. Cooper decided to donate a unit of blood before her operation in the event that she needed transfusion therapy after surgery. She comments to you that she is so glad that she doesn't have to worry about any problems since she is receiving her own blood. What can you tell her about what to expect about her blood donation?

3. Following a type and cross, it is determined that Mrs. Cooper has AB+ blood. Which type of blood can she receive? Which type of antigens does she carry on her red blood cells?

4. Describe your responsibilities associated with initiating and monitoring the transfusion.

5. The health care provider orders another transfusion of red blood cells. Because Ms. Cooper had only 1 unit of autologous blood, she consents to a unit of allogenic blood. Within 15 minutes of the bloo

Answer 1

1.Should explain her that in blood banks the blood will be collected from a client who is free from any disease,especially the contageous diseases.Prior to thr donation the donor undergo certaion examinations like serology test and the virology test and the history and the physical examination.Aslo the blood of the donor and the receipient will chechk for its cross matching.If it is matching only the blood will be transfused.Though the all the precuations had taken during the transfusion also certain steps are taken to avoid complications.So explain her that nothing to worry about the blood transfusion and to be relaxed.

2.First and foremost explain her that if one person donate blood, the lost fluid or plasma wil be replaced in next 48 hours but the body takes 4 to 8 weeks to replace the blood cells and she can have low hemoglobin count before surgery itself.Tell her that she has to expect the following things after the donation like,bruisisng, lightheadness,giddiness,nausea,dizziness,lethargic and pain.There is possibility to be ill with possible symtoms of flu and it can occur within 4 days after the blood donation.

3 AB positive peoplen can receive blood from al th blood groups and they are known as the universal receipent.He red blood cells carry both antigen A and antigen B in her red blood cells.

4.Before starting the blood transfusion make sure that there is a written order from the doctor and be sure about the type of blood you need to transfuse.

1.Identify the patient correctly

2. Explain the procedure to the patient,

3.Obtain a consent from the patient

4. Collect history from the patient to know if there is past history of blood transfusion reaction.

5 Check the blood results prior to the transfusion.

6. Cross check the bag unit nuber,bag blood group and RH typing,date of collection and date of expairy..

7. Check the vital signs of the client before starting the blood transfusion.

8 Before transfusion make sure the patient has a large bore iv access to transfuse the blood without any hemolysis.

9.Start the transfusion in very slow rate and observe the patient closely for amg complivations and mention the event in the patient file.

NB : BEFORE TRANSFUSION THE BAG TEMERATURE SHOULD NOT BE TOO LOW,AND CHECK THE BAG FOR ANY CLOTS OR ANT ABNORMALITY IN IT