Hypovolemic shock and blood transfusion intervention - Essay Example

Comments (1) Cite this document
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 full paperFile format: .doc, available for editing
GRAB THE BEST PAPER96.5% of users find it useful
Hypovolemic shock and blood transfusion intervention
Read TextPreview

Extract of sample "Hypovolemic shock and blood transfusion intervention"

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
  • APA
  • MLA
(“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.
  • Cited: 1 times
Comments (1)
Click to create a comment or rate a document
hbuckridge added comment 1 year ago
Student rated this paper as
The topic of "Hypovolemic shock and blood transfusion intervention" is quite often seen among the tasks in high school. Still, this document opens a brand new perspective of seeing the problem. I’ll use the style for my own sample.

CHECK THESE SAMPLES OF Hypovolemic shock and blood transfusion intervention

Culture Shock

...?Culture Shock Introduction The rise in cross country trade resulting from the reduction in entry barriers have given rise immense opportunities for business organizations to seize. Making use of these opportunities however means taking their businesses into countries that may be a vastly different experience than managing business operations at home. 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. Arriving at efficient intercultural communication can be a...
3 Pages(750 words)Essay

Culture Shock

...? Culture Shock (Add (Add (Add Culture Shock Cultural shock can be defined as the trauma one experiences when onemoves into a culture that is different from ones own home culture. There are various factors that lead to cultural shock. Some of them are differences in food, difficulty in communication, differences in customs and values, unacceptable standards of cleanliness, fear for personal safety, and so on and on. According to Oberg (n.d), the very first factor that leads to culture shock is the disappearance of customs, cues, and norms. For example, a person in a society is guided by various explicit and subtle norms, cues, and customs regarding social...
4 Pages(1000 words)Essay

Septic Shock

...releases endotoxins which generates a myriad of reactions in the body. One is the activation of kinins, specifically bradykinin, which is the main responsible for the hypovolemic state in septic shock since it causes vasodilation, decreasing blood pressure and venous return. When the offending microorganism is destroyed, tumor necrosis factor and interleukin is released, which increases nitric oxide, further promoting vasodilation. Endotoxins also activate the myocardial depressant factor which decreases the end diastolic volume, ejection fraction and cardiac output, along with cardiac arrhythmias. Endotoxins will also activate clotting and complement cascades which predispose the body...
10 Pages(2500 words)Essay

Nervous Shock

...? Nervous Shock Lecturer Introduction When it comes to the mental shock case, there has been a numberof concerns about the elements involved which are considered as being of great subtlety as compared to the case of other physical injuries that occur ordinarily. There are these elements in the mental shock case that have given rise to many debates and concerns on the specific scope of its legal liability. Physical illness has had many liabilities in history characterized by suspicion, fear and ignorance. Past cases have ignored the causes of psychiatric illness. The cases have also witnessed medical discipline judicial suspicion devoted to psychiatric illness treatment as well as the...
9 Pages(2250 words)Essay


..., amylase and lipase levels remained within normal range. Prothrombin time was 14.8 sec; partial thromboplastin time was 35.3 sec and ammonia at 69.5 mcmol/L (Cynthia, 2006) Patient Profile: There are three major components to the patient profile in septic shock, namely, hypovolemic profile, distributive profile and cardiogenic profile. The hypovolemic profile is veno-dilation and capillary leak; and poor cardiac filling in patients with septic shock. Distributive profile is arterial hypotension; shunting of blood supply to vital organs; and splanchnic hypoperfusion from a macro-vascular perspective and vaso-dilation or low systemic vascular resistance;...
10 Pages(2500 words)Essay

Cultural Shock

...Expectancy violation Theory in relation to Cultural Shock Introduction – Expectancy Violation Theory in relation to Culture Shock The theory of expectancy violations basically strives to explain the reaction of an individual towards the unexpected behavior of the other individuals (Jussim et al, 1987). It also explains different perceptions and standards of people regarding the limits that they set for judgment of one’s action as violation or breech of their personal space. According to the expectancy violation theory communication is a process in which information of highly relational content is exchanged and information affects the expectations of the other people who perceive it in different manner on...
6 Pages(1500 words)Research Paper

Culture shock

...Culture Shock Culture shock is a growing phenomenon all over the world, as globalization continues to spread and many people move from one country toanother in an effort to improve their lives. Many people experience culture shock when they encounter other cultures that are not similar to those in which they formerly used to live. This unfamiliarity with the new culture makes many of those who encounter it fail to understand the factors that influence conduct of local people so that they do not discern how they themselves should behave. When these people lose all familiar signs and symbols of social intercourse, they have to try to adapt themselves to different lifestyles, living...
1 Pages(250 words)Essay

Culture shock

...Culture Shock Summary Culture shock is a temporary of mind that is experienced when an individual moves to a different country with a different culture. The biggest culture shock is experienced when an individual moves from an advanced country to a third world country. Culture shock subsides as one starts to integrate into the new environment. There are many emotional and psychological consequences of culture shock including irritability, anger, and sleeplessness. Culture shock can be reduced by making efforts to integrate into the new culture. One needs to understand that the new culture is different from one’s previous culture. The more...
1 Pages(250 words)Article

Culture shock

...Culture Shock al Affiliation) Methodology The method of data collection is through the administration of questionnaires. This was the most suitable method because the research needed a personal touch. The nature of culture shock requires that the responses be of a personal nature. A questionnaire best fits this requirement as opposed to an interview session. This is because the varied nature of respondents meant that interviews would be time-consuming and costly. The questionnaire was administered face-to-face. Those who couldn’t complete them immediately were allowed to submit their questionnaires via e-mail. The questionnaire contained 14 sections each with one question apart from section 14. This...
8 Pages(2000 words)Essay


...Origins of blood types There are no less than 3 hypotheses regarding the emergence as well as transmutation of human blood types. Human blood types evolution is as old as human history. Worldwide distribution pattern of blood types is dependent on different environmental factors like climate, disease, humidity and altitude. In 1900, Karl Landsteiner made a discovery. According to him, some blood transfusions are successful while others are dangerous missions. Landsteiner also discovered particularly the ABO blood group by mixing some of his cells and mature serum in every one of their staff. He also proved that some...
2 Pages(500 words)Assignment
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Hypovolemic shock and blood transfusion intervention for FREE!

Contact Us