I Want To Know If It Necessary To Give Furosimide Before Blood Transfusion And The Rationale Behind It

Question

Asked by slemmanuel

I Want To Know If It Necessary To Give Furosimide Before Blood Transfusion And The Rationale Behind It

i'm a general nurse and i've seen laxis being given before blood transfusion in anaemic clients and i'll like to know if its necessary to do so and the rationale behind it

Answer

Hi Slemmanuel:

It is not standard protocol to give Lasix with blood transfusions. There may be other reasons the doctor has chosen to administer Lasix, i.e. congestive heart failure, kidney disease, fluid overload, etc... Most times the Lasix is administered after the transfusion. With a blood transfusion of PRBC's (packed red blood cells) they primarily want the patient to have the red blood cells (for example if they are anemic this will help with increasing their Hemoglobin) but it is not necessary for them to receive all the fluids (platelets, plasma, WBC's) that naturally come in the PRBC's. So by giving Lasix that will take off the extra fluids.

Hope this helps you out,

Take care,

Tara, RN