ADVERSE EFFECTS OF TRANSFUSION : VOLUME OVERLOAD AND CONCLUSION — Transcript

Full transcript

1. 0:00another one which is quite important
2. 0:02also is volume overload
3. 0:05we must remember when we put in blood or
4. 0:08when we transfuse blood we also
5. 0:10transfuse an extra volume to the patient
6. 0:14in certain group of patients for example
7. 0:17elderly people or patients with liver
8. 0:20heart and renal disease in which they
9. 0:22cannot control
10. 0:23their fluid volume in their body
11. 0:26transfusion can cause many complications
12. 0:29one of them is volume overload and this
13. 0:32can cause heart failure
14. 0:34because the heart cannot compensate to
15. 0:36the increased volume
16. 0:38that occur after transmission
17. 0:41the sciom symptom
18. 0:42of this volume overload is they will
19. 0:45have increased blood pressure and also
20. 0:47they have difficulty in breathing
21. 0:49because the fluid has filled up their
22. 0:51lung
23. 0:52and also heart failure
24. 0:54how do you want to prevent this from
25. 0:56happening especially for elderly
26. 0:58patients or patients with all the liver
27. 1:00heart and renal disease we usually
28. 1:03slowly transduce them with backward
29. 1:05cells if they need it okay we don't
30. 1:07transduce them with whole blood if they
31. 1:10don't lose blood we don't transfuse them
32. 1:12with whole blood we transfuse them with
33. 1:15bad red cells and then we do the
34. 1:17transmission very very slowly and
35. 1:20monitor the patient very closely
36. 1:22and in certain situation also we give
37. 1:25them diuretic therapy
38. 1:27diuretic therapy is a drug given to a
39. 1:30patient
40. 1:31to get rid of their fluid overload so
41. 1:34this drug will make them pass urine very
42. 1:36frequently to make sure they don't have
43. 1:38volume overload okay that are the some
44. 1:41complications that i have discussed if
45. 1:44you want to know more about it or you
46. 1:46want to know other complications you can
47. 1:48read it in the book or we can discuss it
48. 1:51during classes
49. 1:53before i finish this lecture i just give
50. 1:56you a few conclusions
51. 1:58the first one is transfusion is an
52. 2:00useful procedure and in many situations
53. 2:02it can it can save lives however it is
54. 2:06not without complications
55. 2:08so good and wise clinical judgment is
56. 2:10crucial before making a decision to
57. 2:12transfuse a patient
58. 2:15the health professionals
59. 2:17involved in transmission service
60. 2:19including nurses
61. 2:21need to understand the risk of
62. 2:23generation
63. 2:24and their expertise in providing
64. 2:26self-registration is very very vital and
65. 2:29as nurses you also need to be aware what
66. 2:32are the complications that can occur
67. 2:35after transition or during transmission
68. 2:38and you need to be aware
69. 2:40of the signs and symptoms of
70. 2:42transmission reaction because you are
71. 2:45the one who are usually with the patient
72. 2:48most of the time i just want to end this
73. 2:50with a saying a blood translation is
74. 2:53like a marriage it should not be entered
75. 2:55upon lightly blindly or wantedly and
76. 2:58definitely should not be more often than
77. 3:00it is
78. 3:01necessary okay thank you for listening
79. 3:04and we'll meet in the class later okay
80. 3:07bye