TABLE 11-4 Transfusion with Blood or Blood Products

Blood or Blood Product Indications Asessment: Side effects Nursing Care Plan/Implementation
Fibrinogen (factor I) Fibrinogen deficiency Increased risk of hepatitis because the hepatitis virus combines with fibrinogen
  1. Reconstitute with sterile
  2. Do not warm fibrinogen or use hot water to reconsti-
  3. Do not shake
  4. Must be given with a filter
Albumin or salt-poor albumin
  1. Shock due to hemorrhage, trauma, infection, surgery, or
  2. TYeatment of cerebral edema
  3. Low serum-protein levels
None; these are heat-treated products Commercially prepared
Dextran Hypovolemic shock
  1. Rare allergic reaction
  2. Patients with heart or kidney disease susceptible to heart failure or pulmonary edema
Commercially prepared