Monitoring of a preterm baby receiving blood component

Monitoring of a preterm baby receiving blood component transfusion

Learning Objectives § Monitoring of the babies receiving transfusion § Before transfusion § During transfusion § After transfusion

Before transfusion …. § Document § Indication § Pre-transfusion Hb Platelet counts § Identify the baby and take consent from parents § Check and label the bag § Prescribe the correct volume/ rate in the treatment chart of the baby § Transfuse only through peripheral intravenous or central venous line , no other line should be used § Do any sampling for the cause of anaemia if any

During transfusion § Adherence of strict asepsis § Monitor vitals every 30 minutes to 1 hr § § § Temperature Spo 2 Heart rate BP / CFT Urine output Respiratory rate § Rate of the administration , judge by volume left and time passed § Local site complications

After transfusion § Continue monitoring for 2 to 4 hrs § Restart feeding/ Maintenance fluids if stopped § Inform the parents about the completion of the transfusion § Hb or platelet levels need to be repeated only if : § Baby is not improving § In case of severe anaemia or thrombocytopenia

Summary Monitoring is a very important part of transfusion in preterm neonates it should include § The preparation before transfusion and documentation is a vital § Monitoring the vitals during transfusion is done frequently and aggressively in sick babies § The monitoring should continue post transfusion for 2 to 4 hours