Implementation of nursing care for thalassemia patient, Biology

Assignment Help:

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.  

Related Discussions:- Implementation of nursing care for thalassemia patient

Characteristic features of coelom, Characteristic Features of Coelom ...

Characteristic Features of Coelom Sensory system consisting of eyes, photoreceptor cells, statocysts, taste buds and tactile organs. Respiration by skin, gills or par

Herbage area or vegetation cover, Herbage area or vegetation cover Her...

Herbage area or vegetation cover Herbage area or vegetation cover is an important aspect of vegetation study in understanding the nature of a community particularly in evaluat

Implementation of nursing care for thalassemia patient, Implementation of N...

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 diagnos

Can you explain about cardiomyopathies, Q. Can you explain about Cardiomyop...

Q. Can you explain about Cardiomyopathies? Cardiomyopathy is a primary disorder of heart muscle that may cause cardiac dysfunction and is not related to any obvious disease pr

Major metabolic gases transported by the blood, Q. Which are the two major ...

Q. Which are the two major metabolic gases transported by the blood? The major metabolic gases transported by the blood are molecular carbon dioxide (CO 2 ) and oxygen (O 2 ).

Explain about the oesoplzageal carcinoma, Explain about the Oesoplzageal Ca...

Explain about the Oesoplzageal Carcinoma? Management of patients with oesophageal carcinoma includes surgery, radiation and combination chemotherapy. Radiation to the lower nec

What is capillarity, What is capillarity? How this phenomenon is chemical...

What is capillarity? How this phenomenon is chemically explained? What is the relevance of capillarity for water transport in plants? Capillarity is the phenomenon by which

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd