What is the importance of administering the FFP prior to the PRBCs

Medical Diagnosis

Diagnosis is acute gastrointestinal bleeding

Nursing Actions

You have started and finished the FFP, and are currently transfusing the allogenic PRBCs. Ten minutes after starting the PRBC transfusion, Mr. S begins to C/O back pain, chills, and SOB. After taking his oral temperature you note it is now 38.8 degrees Celsius. He appears anxious, and is pulling at his lines and tubes.

1. What is this patients mean arterial pressure (MAP)? Is his MAP adequate, and why? Please show your work for the math equation.

2. What signs and symptoms may Mr. S exhibit secondary to his low H&H laboratory values?

3. What should the length of time be to transfuse Mr. Ss PRBCs, and why?

4. Mr. S is O positive blood type. What blood types can he receive, and what blood types can receive his blood type?

5. What is the importance of Rh factor when considered which type of blood to administer to patients?

6. What does allogenic mean? What does autologous mean?

7. What do you think is occurring with Mr. S?

8. What should be your immediate actions/interventions?

9. What nursing diagnoses should you give for this patient?

10. What education can be provided to this patient upon discharge