Whole blood is rarely used. It is used to resolve hypovolemic shock.

Rules for Blood Product Adminstration Fresh Frozen Plasma may be used to provide clotting factors or volume expansion. Autologus donation is NOT an option for a client with leukemia or bacteremia. Blood Adminstration Rules Blood Adminstration Rules BUN Platlet Count Serum Protein Level Allen's Test A large volume of refridgerated blood infused rapidly through a central catheter into the ventricles of the heart can cause cardia dysrhythmias. No solution other than NS should be added to blood components. indicated how well glomerular filtration rate is; normal value is 8 to 25 mg/dL 150,000 to 400,000 6.0 to 8.0 you may do this by applying direct pressure over ulnar and radial arteries simultaneously. The hand should blanch when the patient opens and closes their hand repeatedly. When CO2 levels go higher than 45. Caused by hypoventilation, emphysema, asthma, pulmonary edema, and meds such as sedatives, and narcotics Clinical Manifestations include respiratory rate increases, mental status change, hyperkalemia, leads to ventricular fibrillation. PTT Creatinine measures how well the coagulation sequence works. Normal Value; 20 to 30 seconds (1.5-2.5 times the norm) a special indicator of renal function. Normal Value= 0.6 to 1.3 The RN should measure vital signs and assess lung sounds before the transfusion and again after the first 15 minutes and every hour until one hour after completion Chills and diaphoresis, muscle aches, back pain, or chest pain. Rashes, hives, itching, and swelling. Rapid thready pulse. Increased pulse, hyper-alert, startles easily, anorexia, tremors, anxiety, insomnia, hallucinations. hyperglycemia normal or elevated blood glucose are present at

Respiratory Acidosis

Rules for Hanging Blood Signs of Immediate Transfusion Reaction Early Symptoms of Alcohol Withdrawal

Somagyi Phenomenon

bedtime. Hypoglycemia occurs at 2 to 3 AM which caused an increase in production of counter regulatory hormones. This is much more serious than Right Sided Failure. It manifests in pulmonary edema. Client will complain of having to sleep while sitting up (orthopnea). Lung Cancer metasizes to the spine, in 70 to 80% of the cases you will find the client suddenly becomes incontinent or cannot ambulate During the first 24 hours after amputation support the stump with pillows but Do Not elevate because of the risk of flexion contractures. During the procedure patient is in lateral (side lying) position after the procedure place client in the supine position for 4 to 12 hours as prescribed. Post Op care includes no extreme external/internal rotation. Aviod adduction. Place a pillow between the clients legs to maintain abdomen. Instruct the client NOT to cross their legs. A right side lying position with a small pillow of folded towel under the puncture site is preferred.

Left Sided Heart Failure

How Lung Cancer Spreads Amputation of the Lower Extremity

Lumbar Puncture

Total Hip Replacement

Post Liver Biopsy

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