This paper will analyse the administration of packed red cells transfusion in a patient with hypovolaemic shock arising from severe haemetemesis. The identity of the patient has been changed to Mr. Z to ensure anonymity and confidentiality …
Download file to see previous pages...
This research presented typical features of hypovolaemic shock, primarily developing from chronic alcoholism. The patient earlier episodes of epigastric pain and upper GI bleeds and was treated for the same by antiemetic drugs and antacids. Following that episode he was advised against drinking and smoking. In this event, Mr. Z developed nausea 48 hours before the haemetemesis. During the haemetemesis episode he vomited blood 5 times, containing blood coffee brown in colour and from the upper GI. In this case, the rationale for giving blood was that the patient’s haemoglobin levels were only slightly above normal, the blood loss was severe, and the patient’s condition was perceived to be serious. The physicians in this case had to make a close decision, as if the symptoms and the vital sign (especially blood pressure) could be managed effectively, blood transfusion was not needed. The criteria for blood transfusion are made based on general criteria and not the management or care setting for the particular patient. For example, if the patient is managed in the ICU, there is oxygen and respiration is taken care of and hence, anaemia may not be a serious issue that the patient has to cope with. Hence, the care settings have an important role to play. The most important criteria for transfusing blood for an ICU patient are whether the patient is hemodynamically stable or not. If the patient cannot be maintained properly in a hemodynamic state (even though the blood loss was minimum), then blood transfusion is needed. Haemoglobin is critical in ensuring oxygen supply to the vital organs and the tissues of the body. However, if the patient can be maintained hemodynamically stable (even though the blood loss was severe) and the haemoglobin levels is below 7 g/dl, the vital signs are seriously affected, then the patient has to be suggested for blood transfusion. In this case, it would be likely that blood transfusion was given as a precautionary measure although in the current care settings, stability of the vital signs and haemoglobin level it would not be necessary. Besides, the fact that the patient was currently in the ICU was not taken into consideration, and it is important that this fact be taken into consideration. The blood pack has been administered slowly over 3 hour duration (as per the mentioned in the case), and any risk of adverse effects were monitored. Though no urticaria and erythema were noticed, there has been a slight improvement in the patient’s blood pressure levels, APTT, Haemoglobin levels, heart rate and respiratory rate. However, there is not much improvement in other important components such as blood pressure, pulse, breathes rate and haemoglobin (Veenema, 2007). Ethically and legally, consent was obtained orally and carefully documented. The patient should be competent to give consent and only if the patient’s condition is such he is in a position to give consent, should consent be taken. There was also a need to ensure
...Download file to see next pagesRead More
Cite this document
(“Hypovolemic shock and blood transfusion intervention Essay”, n.d.)
Retrieved from https://studentshare.org/nursing/1394802-hypovolemic-shock-blood-transfusion-intervention
(Hypovolemic Shock and Blood Transfusion Intervention Essay)
“Hypovolemic Shock and Blood Transfusion Intervention Essay”, n.d. https://studentshare.org/nursing/1394802-hypovolemic-shock-blood-transfusion-intervention.
These differences arise from the different cultural environments of the new countries to which the business organization wishes to extend its business operations to. It is in this context that an understanding of different countries and intercultural communication becomes important to business organizations.
This study looks into blood transfusion as the process of receiving blood intravenously. The earliest blood transfusions were experimented between humans with animal blood. After several experiments with mixed results, the first transfusion using human blood was done in 1795 and performed by American born physician Dr. Philip Syng Physick.
Discuss how these findings can improve pre-hospital care and management of an ectopic pregnancy. Ectopic pregnancy Introduction Implantation of a fertilized ovum in places other than the endometrial lining of the uterus results in an ectopic pregnancy. As the blastocyst grows and expands at aberrant sites, it can cause rupture of those tissues with the potential for torrential bleeding (Braen & Krause, 2009; Jacob, 2012).
My patient to be presented in this case is a 55 year old post-operative male admitted to surgical ICU where I am working. He was hooked on cardiac monitor and Two hours after admission, my patient had a low BP (blood pressure) of 75/40 mmHg, HR (heart rate) of 130 per minute, RR (respiration rate) of 30 breaths per minute, spiking high fever, oxygen saturation of 88%, and positive abdominal pain.
A pseudonym Mrs. H has been used to comply with Nursing and Midwifery Council (NMC), (2008) rules of confidentiality. It examines pathophysiology of postpartum haemorrhage; a major cause of maternal death in developing and developed countries (Lombard and Pattinson, 2009).
It was decided that an elective surgery will be done on her. Accordingly anterior cervical decompression and fusion at C4-C5 levels will be done. A detailed preoperative history revealed no history of allergy, no history of asthma, no previous surgeries, and she had never been subjected to any anesthetics.
Septic shock presents itself in hospital environments in different forms with particular emphasis in patients of advanced ages and in patients with immuno-compromise problems (Balk, 2000).
Attempts at providing clarity
Shock may be categorized mainly into 3 categories: cardiogenic shock, hypovolemic shock and septic shock (Mitchell, p.139). Cardiogenic shock results from myocardial pump failure. It occurs in myocardial
Initial care providers state that many brief interventions are effective in treating substance abuse. Brief interventions include encouraging substance abusers to attend detoxification welfare groups such as
In the culture shock video, a brief introduction is given explaining various historic times and ceremonies practiced in towns. Later on, Clements, one of the re-known authors is discussed. His brief life script is narrated in the video, showing the history in the world of the writing industry. The narration also reflects on slavery.
1 Pages(250 words)Essay
GOT A TRICKY QUESTION? RECEIVE AN ANSWER FROM STUDENTS LIKE YOU!
Let us find you another Essay on topic Hypovolemic shock and blood transfusion intervention for FREE!