Handbook of Pediatric Transfusion Medicine

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You can go to cart and save for later there. Handbook of Pediatric Transfusion Medicine - eBook. Average rating: 0 out of 5 stars, based on 0 reviews Write a review. Tell us if something is incorrect. Book Format: Choose an option. Product Highlights Structured to be a companion to the recently published Handbook of Transfusion Medicine, the Handbook of Pediatric Transfusion Medicine is dedicated to pediatric hematology-oncology and transfusion medicine, a field which remains ambiguous and which has generated few comprehensive texts. This book s. About This Item We aim to show you accurate product information.

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Practical Aspects of Blood Transfusion in Pediatrics

See our disclaimer. Neonatal and fetal immune response and in utero development issues Blood compatability and pre-transfusion testing issues specific to pediatric and neonatal transfusion Therapeutic apheresis including red blood cell exchange and prophylactic chronic erythrocytapheresis for sickle cell patients Also includes a section that concentrates on the consent, quality and legal issues of blood transfusion and donation Handbook of Pediatric Transfusion Medicine - eBook. Customer Reviews. Write a review. See any care plans, options and policies that may be associated with this product.

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Clinics in perinatology. Date last published: 15 October This document is only valid for the day on which it is accessed. Please read our disclaimer. Newborn intensive care. Parental Consent Informed written consent must be obtained. Consent is documented on a consent form Agreement to Treatment CR Consent for blood is documented on the reverse side of form CR Volume N. Procedure Consent must be obtained by the Doctor from the parent s prior to commencement of the exchange transfusion. Ventilator must be set up ready for use at the bed space. Blood and IV fluids must be prescribed by medical staff on appropriate charts.

Asepsis must be maintained throughout the procedure. Nurse the baby on a radiant heat table. If the exchange is being done for hyperbilirubinaemia, ensure optimal exposure to phototherapy and biliblanket is maintained The infants cardiorespiratory status and oxygen saturation must be monitored continuously. Observe carefully throughout the procedure that there is no air in the lines.

Technique Exchange transfusions are performed using either one catheter or two catheter push-pull method. Two Catheter Push-pull Technique Blood is removed from the artery while infusing fresh blood through a vein at the same rate. Haemolysin negative. Partially packed i. Less than 5 days old. Mix the blood before taking the samples.

Each method of exchange transfusion uses the same out line for blood Connect 2 x BC extensions and drain into an empty bottle. Monitoring and Documentation Record baseline observations prior to commencing exchange transfusion. Observe for any changes in neurological status - drowsiness, irritability. Record blood results on the Exchange Transfusion Results Sheet CR Maintain continuous electronic monitoring of vital signs for at least two hours post transfusion or longer if baby's condition is not stable.

Specimen is to be taken from each unit as soon as it arrives. Collect 0. FBC and differential. Urea, Creatinine, Bilirubin total and direct. Guthrie unless previously done Coagulation screen should be collected if more than one exchange is performed 0. During Exchange Specimen Blood gas, electrolytes and glucose are tested as ordered.

FBC and differentials Urea, Bilirubin total and direct. Coagulation screen should be performed if more than one exchange. Complications Be aware of this possibility Observe the baby carefully Have resuscitation equipment ready During Exchange Air embolus Ensure the lines are correctly set up. Watch the lines continuously for air.

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Turn the line off instantly if air is seen. Never have a 3 way tap open to air and the baby Be very careful if there are large swings in intrathoracic pressure. Volume imbalance The nurse is responsible for recording the volume balance throughout the exchange.

Set the monitor to have an audible QRS complex. Acidosis Blood for exchange transfusion is preserved in CPD citrate, phosphate, dextrose and can be quite acidotic. Check the baby's blood pH before, during usually half way , and after the exchange Check more frequently for a sick, unstable or small baby.

Monitor the QRS complex.

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Pediatric Transfusion Management

Agitate the bag every 15 minutes. Infection Prophylactic antibiotics are not indicated.


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Observe closely for signs of infection. However rebound hypoglycaemia may occur afterwards. Thrombocytopenia Very common, and more severe after more exchanges due to increased platelet consumption.

Paediatric Subgroup of the Clinical Transfusion and Haemovigilance Working Parties

Recovers in a few days. Monitor platelets serially for a week post exchange. Polycythaemia or anaemia From poorly mixed or packed blood. Coagulopathy or neutropenia More likely the multiple transfusions. Necrotising enterocolitis Umbilical catheter related especially with a low UVC and maybe due to BP and blood volume fluctuations. It seems to be more likely with more preterm infants, intrauterine transfusions, multiple exchanges, and related donors. Irradiate the donor blood. Initiate resuscitative measures as indicated.

If lines and blood pack are removed they must be sent to Blood Bank for proper analysis. Notify Blood Bank to ensure this happens All clinical records for the baby are photocopied prior to being sent to the Coroner.

PERPUSTAKAAN SULTAN ABDUL SAMAD catalog › Details for: Handbook of pediatric transfusion medicine

Urgent Exchange Transfusions May be necessary for a severely anaemic baby. Considerations Non-irradiated blood may be used as irradiation can result in unacceptable delay. Once there is central venous or arterial access, the exchange can commence. Suggested Equipment use one catheter push-pull set up for guidance 2 x 3 way taps A series of 10ml or 20 ml syringes filled with checked filtered blood.

Partial Exchange Transfusion A partial exchange transfusion is a procedure performed to correct polycythaemia or severe anaemia without hypovolaemia. Treatment is generally based upon the presence of consistent signs and symptoms. Twin to twin transfusion. Consent for treatment is documented on a consent form Agreement to Treatment CR Use either One Catheter or Two Catheter push pull set up. Exchange Transfusion Checklist 58 KB. You might also be interested in….


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