Hemolytic Reaction ATI System Disorder PDF

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Summary

Hemolytic Reaction System Disorder Template focused on Blood Transfussion...

Description

System Disorder

ACTIVE LEARNING TEMPLATE:

ST UDENT NAME _____________________________________

Hemolytic Reaction DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Blood cells transfused are destroyed by the recipients immune system.

Back pain, hematuria, chills, fainting, dizziness, fever, flushing

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention - Stop infusion - Start IV 0.9% NS - anticipate hypotension, renal failure, DIC

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

- Previous blood transfusions

uticaria, hypotension, chills, itching, respiratory distress, high fever, hematuria

Laboratory Tests - Type and screen - CBC - H&H - Urinalysis - antiglobulin testing (Coombs)

Diagnostic Procedures CBC, BMET, AST, ALT, Haptoglobin, Reticulocytes, LDH, Coombs, EKG

PATIENT-CENTERED CARE

Nursing Care -

Stop transfusion Administer 0.9% NS Contact provider and blood bank Monitor vitals Administer oxygen

- Type and match screening - 2 RN sign off before transfusion - Fluid Overload - Lung Injury - anemia - renal failure

Complications Medications diphenhydromine acetominophen

Client Education - Educate patient on disease process - Educate patient on medications - Report itching, pain or shortness of breath

- renal failure - anaphylaxis - pleural edema - shock

furosemide Therapeutic Procedures - diuretics - Fluid therapy - antihistamines -

ACTIVE LEARNING TEMPLATES

epinepherine IV Steroids bronchodilators

Interprofessional Care - Hematology - Nephrology - Pulmonology - Blood Bank

THERAPEUTIC PROCEDURE

A11...