Safe Administration of PRBCs in High-Risk Patients

Very Hard Pharmacological And Parenteral Therapies Blood And Blood Products

A 70-year-old patient with chronic kidney disease and a history of heart failure is scheduled to receive a unit of packed red blood cells (PRBCs) due to severe anemia. As the nurse, you must consider various factors regarding the administration of blood products based on the patient’s medical history and the unit’s characteristics.

Which of the following actions should you take to ensure the safe administration of the PRBCs?

Select all that apply:

Assess the patient’s serum potassium level prior to transfusion.

Infuse the PRBCs through a 20-gauge or larger IV catheter.

Administer diuretics during the transfusion if the patient shows signs of overload.

Ensure that the blood product is warm before administration.

Confirm the patient’s identity and the blood product details with another qualified nurse.

Monitor the patient for the first 15 minutes of the transfusion for adverse reactions.

Hint

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