Monitoring during blood transfusion
- Introduction...
- 1. Learning object...
- 2. Monitoring befo...
- 3. Monitoring duri...
- 4. Monitoring afte...
- 5. Summary...
Introduction
DR. ASHISH JAIN
MD, DNB, DM (Neonatology)
Assistant Professor
Department of Neonatology
Maulana Azad Medical College
New Delhi
1. Learning objectives
► Monitoring of the babies receiving transfusion
♦ Before transfusion
♦ During transfusion
♦ After transfusion
2. Monitoring before blood transfusion
► Document:
♦ Indication
♦ Pre-transfusion haemoglobin and platelet counts
► Identify the baby and take consent from parents
► Check and label the bag
► Prescribe the correct volume/ rate in the treatment
chart of the baby
► Transfuse only through peripheral intravenous or
central venous line, no other line should be used
► Do sampling for the cause of anaemia, if any
3. Monitoring during blood transfusion
► Adherence of strict asepsis
► Monitoring of vital signs should be more frequent during
initial few minutes of transfusion
♦ Temperature
♦ SpO2
♦ Heart rate
♦ BP/ CFT
♦ Urine output
♦ Respiratory rate
► Rate of the administration, judge by volume left and
time passed
► Local site complications
4. Monitoring after blood transfusion
► Continue monitoring for 2 to 4 hours
► Restart feeding/ maintenance fluids, if stopped
► Inform the parents about the completion of the transfusion
► Haemoglobin or platelet levels need to be repeated only, if
♦ baby is not improving
♦ in case of severe anaemia or thrombocytopenia
5. Summary
► Monitoring is very important part of transfusion in
preterm neonates it should include
♦ The preparation before transfusion and documentation
is a vital
♦ Monitoring the vitals during transfusion is
done frequently and aggressively in sick babies
♦ The monitoring should continue post transfusion
for 2 to 4 hours