A 60 yr old female presented to the emergency room with vomiting and abdominal pain

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A 60 yr old female presented to the emergency room with vomiting and abdominal pain. After several tests she was diagnosed as having a perforated gastric ulcer. You are the nurse in the emergency room and have just received an order from the doctor to transfuse the patient with 2 units of PRBC's. Patient's Hgb is 7 g/dL. Her vitals are as follows: BP 120/62, P 66, R 16, T 97.6. Use at least 2 sources for your answers. Remember to include your references

1)     Discuss at least three reasons the doctor may have chosen to infuse PRBC's rather than another blood product.

2)     What are items that you will educate the patient on before starting the transfusion?

3)     Before starting the transfusion, what are checks that will need to be made between 2 nurses?  Detail these checks and explain why these checks are important to prevent adverse effects.

4)     After 10 minutes your patient complains of SOB, runny nose, and you notice she is beginning to develop a rash on her arm.  Her vitals are: BP 116/58, P 80, R 22, T 98.0.  What is your preliminary diagnosis?  What are your first 3 steps to assure patient safety?

5)     Explain why patients who have multiple transfusions can get hypocalcemia.