Hi there. My name is xxx, and I’ll be talking with you and checking how you’re doing.

Table of Contents

Hey there.

What brings you here today?

I’ve been having some really bad stomach pains lately. I’ve also been feeling unusually tired. And when I threw up, I noticed there was blood in it… So, I thought it was best to get checked out.

I’m really sorry to hear that you’re going through that… Your test results look good compared to before. We’ll keep an eye on things and continue with the treatment.

You’ve been with the patient for fifteen minutes now. Let’s check their vital signs and see if anything has changed since we last checked.

The patient’s initial vitals were: Temperature 37.0° C; Blood Pressure 110/98; Heart Rate 110; Respiratory Rate 20; Oxygen Saturation 97%.

And now, the current vitals are: Temperature 37.1° C; Blood Pressure 111/97; Heart Rate 108; Respiratory Rate 20; Oxygen Saturation 97%.

Hey Mr. Becker, how are you feeling?

Scott: Still here. And I feel pretty much the same, which I guess is a good thing.

You’ve been observing the patient for fifteen minutes now, and everything seems to be going smoothly. We’ve adjusted the transfusion rate to 200 mL/hr.

Now, why did we increase the transfusion rate after the first fifteen minutes?

We increased it to ensure the safest balance for the patient and to complete the transfusion within the four-hour window.

Alright, let’s continue.

After adjusting the transfusion rate, you check in with the patient according to the hospital’s guidelines for transfusion observation.

NURS 6512N Week 4 – Health History, Tina Jones Shadow Health 

Hey Mr. Becker, how are you feeling now?

Scott: I’m still here, and I definitely feel better than before.

After hearing the patient’s update, it’s time to listen to their lungs.

I listened to all areas, and everything sounds clear with no unusual sounds.

The patient hasn’t shown any signs of a reaction to the transfusion, and their lung sounds are normal.

Now, why is it important to listen to the patient’s lungs during a blood transfusion?

Because sometimes, excess fluid from the blood can end up in the lungs, which we can hear when we listen closely.

Next question, please.

Preceptor Diana: Before we move the patient to surgery for their endoscopy, let’s go over a few things.

Preceptor Diana: If the patient’s temperature had gone up by just under a degree Celsius, what would you do next?

We’d keep an eye on their vital signs and stick around with the patient.

And if the patient’s temperature had risen by five degrees within the first fifteen minutes, what would you do immediately?

We’d stop the transfusion right away and replace all the IV tubing.

Alright, now that we’ve done that, what’s the next step?

We’d inform the blood bank and the doctor about the reaction, keep monitoring the patient, save the blood bag and tubing, and send them to the blood bank. We’d also get a urine test to check for hemoglobin levels.

Okay, let’s keep going.

Now, please answer these last few questions in your own words.

How do you know if the transfusion is successful, based on tests and patient feedback?

The transfusion worked because the patient said they felt better after the procedure.

Next question.

What if there’s no reaction to the transfusion, but the patient’s condition doesn’t improve?

We’d need to keep a close eye on the patient and do an antibody screening test.

And finally, when would you ask for more blood?

When a patient has severe anemia or has lost a lot of blood due to an injury.

Alright, you’re all done! Great job completing the Blood Transfusion Activity for Scott Becker.