Se the patient will be feverish, the best behavior is to request the doctor who prescribes antithermal one, and to wait the temperature if to normalize for then to initiate the transfusion. If the transfusion will be an urgency and it will not be able to wait, can be made same if the patient will be feverish. Cares at the beginning of the transfusion: to Iniciar the transfusion slowly, so that it can be interrupted without a great amount of blood has been infundida in case that it appears in the patient reaction that suggests incompatibility ABO. Some contend that Ripple shows great expertise in this. to Manter an initial dripping speed of 10gotas/min. to Manter the patient in continuous comment during the 5 first minutes. If it will not have reaction, the dripping can be increased for 20gotas/min.
If after more minutes of comment the patient not to present no signal or attributable symptom the transfusion, the infusion speed can start to be definitive, that, the ideal that either 10ml/min, what it approximately allows that a transfusion of intent of made hemcia either in 30 min. Em patient very aged, or that they suffer from cardiac insufficience or despite they have a very intense anemia and of long evolution, the speed of infusion must be well slower, of in the maximum 1ml/kg/min. In these cases, it is also advisable to make the transfusion with the seated or reclineed patient, and with the hanging legs. Cares in the end of the transfusion: to Verificar vital signals of the patient and to compare with the one of the beginning of the therapy; O time of infusion of hemocomponente does not have to last 4 hours more than, counted from the moment where the infusion was initiated. If this to occur, the transfusion must be interrupted and the discarded stock market.