A importância do enfermeiro durante a reação transfusional aguda: revisão da literatura

Abstract

Resumo: Contextualizar a atuação do enfermeiro, suas capacidades técnicas e científicas frente à assistência de enfermagem na reação transfusional aguda, de acordo com a literatura científica. Trata-se de um estudo descritivo, do qual foram selecionados artigos nas seguintes bases de dados: SciELO.Org e LILACS. Para busca dos artigos, foram utilizados os seguintes descritores: Enfermagem, Reação e Transfusão Sanguínea. Para fins de análise, foram elaboradas 02 tabelas sendo: caracterização dos estudos e descrição dos resultados. A partir deste estudo identificou-se a efetividade da atuação do enfermeiro em hemoterapia. A enfermagem colabora de forma significativa com seus conhecimentos científicos aos pacientes transfundidos que apresentam reação transfusional aguda nas clínicas de UTI, pediatria oncológica e pacientes de pós-operatório cardíaco, visando sempre uma assistência de qualidade e livre de danos.Descritores: Enfermagem, Reação , Transfusão Sanguínea. The importance of nurses during acute transfusion reaction: literature reviewAbstract: To contextualize the work of nurses, their technical and scientific capacity across the nursing care in acute transfusion reaction, accord ing to scientific literature. This is a descriptive study, in which articles were selected in the following databases: LILACS and SciELO.Org. To search for articles, the following descriptors were used: Nursing, Reaction and Blood Transfusion. For analysis purposes, we prepared 02 tables being: characterization studies and description of the results. From this study, we identified the effectiveness of the work of nurses in hemotherapy. Nursing contributes significantly with their scientific knowledge to transfused patients with acute transfusion reactions in ICU clinics, pediatric oncology and cardiac postoperative patients, always seeking harmless and quality care.Descriptor s: Nursing, Reaction, Blood Transfusion. La importancia del enfermero durante la reacción transfusional aguda: revisión de la literaturaResumen: Contextualizar el desarrollo del enfermero, sus capacidades técnicas y científicas a través de la atención de enfermería en la reacción transfusional aguda, según la literatura científica. Tratase de un estudio descriptivo, en el que fueron selecionados los artículos en las siguientes bases de datos: SciELO.Org y LILACS. Para la busca de artículos, se utilizaron los siguientes descriptores: Enfermería, Reacción y Transfusión de Sangre. Para fines de análisis, fueron hechas 2 tablas, es decir, estudios de caracterización y descripción de los resultados. A partir de este estudio se identificó la eficacia del trabajo de las enfermeras en hemoterapia. Los enfermeros contribuyen de manera significativa con sus conocimientos científicos a los pacientes transfundidos y que presentan reacciones transfusionales en la UCI, clínicas de oncología pediátrica y pacientes postoperatorios cardíacos, buscando siempre uma asistência de cualidade y libre de daños.Descriptor es: Enfermería, Reacción, Transfusión de Sangre. Andrew Almeida ...

Permanent education of the nursing team in transfusional reaction

“…7 This is a worrying scenario, since the greatest cause of deaths due to transfusion reaction is due to the acute hemolytic reaction as a consequence of the incompatibility of the ABO system. 8 It is evidenced that transfusion-associated ciculatory overload (TACO) and transfusionrelated acute lung injury, called transfusion related acute lung injury (TRALI), are also transfusion reactions that deserve to be highlighted, as they have a higher prevalence in surgical centers, these being one of the main sectors where blood transfusions occur, and its aggravating factor is similar symptomatology, however, with differentiated conduct. 3,9 It is revealed that studies involving nursing assistance to hemotherapy patients are scarce, since hemotherapy is a recent practice in Nursing.…”

“…It is necessary to study the knowledge of the professionals about it, considering the importance of the nurse in patient safety and the quality of the blood component. 8 In view of the relevance of the topic related to the recognition of a transfusion reaction, the knowledge of proper conduction, the need for notification and all the context that involves the work of the worker, which the study brings as a guiding question of research: "What is the knowledge of nursing professionals about the transfusion reaction in a small hospital in the municipality of Palmas/PR? ".…”

“…It is recommended that the recognition of signs and symptoms is fundamental for the Nursing team, since only then will it be possible to identify the reaction and adopt procedures capable of reversing clinical complications, since the main symptoms associated with a transfusion reaction are fever, chills, infusion site pain, and respiratory changes.¹ It is related, among the procedures to be adopted in response to a transfusion reaction, that the first should be to stop the transfusion and, consequently, to maintain a physiological solution at 0.9%, to check data, to check vital signs, to communicate the on-call doctor and complete the transfusion reaction notification form. 8 It is explained that, taking into account the importance of the worker's conduct and, more importantly, how to determine the priority in the care, the third question had as objective to identify the worker's first behavior towards the transfusion reaction. It was found that among the 37 professionals participating in the research, 32 professionals acknowledged that they were interrupting the transfusion in the pre-test, whereas in the post-test, all of them were correct.…”

Cuidado Pós-Transfusional Na Unidade De Terapia Intensiva Neonatal: Um Relato De Experiência

“…A transfusão sanguínea é um procedimento complexo, de grande importância na terapêutica moderna que se destina a administração de diversos produtos sanguíneos por via endovenosa. Requer conhecimento cientifico dos profissionais envolvidos no processo, visando a necessidade de cuidados especializados durante toda a terapia transfusional, desde a administração até as complicações agudas ou tardias (DE LIMA, et al, 2016).…”

“…Reações transfusionais são agravos ocorridos durante ou após a transfusão sanguínea e a ela relacionados. Sendo classificadas em: Incidentes transfusionais imediatos: no início da administração dos hemocomponentes ou até 24 horas após e Incidentes transfusionais tardios: após 24 horas da transfusão realizada (DE LIMA, et al, 2016).…”