MANEJO Y COMPLICACIONES INMEDIATAS DE TRANSFUSIÓN DE SANGRE Y HEMODERIVADOS EN USUARIOS DEL HOSPITAL PROVINCIAL DOCENTE “VERDI CEVALLOS BALDA”, PORTOVIEJO. NOVIEMBRE DICIEMBRE 2005

Abstract

The excessive quantity of sanguine transfusions accomplished world widely constitute a serious situation of public health for risk to contract transmissible pathologies, for the adverse immediate property and for another complications that potentially they be left as sequels and that means Hemotherapy´s inadequate handling. The present – day reflex problems the indiscriminate utilization of blood and derived from the blood for the medical doctor’s part, when not using the clinical and laboratories made suitable criteria, establishing an erroneous diagnosis and as a consequence prescribing the less propitious product, requesting it to the Blood Bank in the role of urgency without considering that this impedes the realization of all the test of compatibility for the time factor. For this it adds the nursing personnel’s incorrect administration of the sanguine unit for part, that they do not count on the necessary knowledge in story on time and techniques of application are added up. The present investigation revels the influential factors en the handling and the Hemotherapy´s presence of complications and whereon misses the system of certainty transfusional, in order to improve quality transfusional offered in this helping center, avoiding the administration of blood and hemoderivatives of indiscriminate form and without scientific criterion. This study is descriptive, prospective; based in the handling and complications of blood transfusions and hemoderivatives at the Hospital Provincial Docente of Portoviejo; the population included 71 patients in them it carried out 108 transfusionals procedures. To finish this investigation its observe than the diagnostic pre- the transfusionals more frequent were Acute Hemorrhage, Hypoproteinemia, and Acute Anemia, highlighting a high incidence of cases without established diagnosises. Encountering fever like the most frequent of 8 complications found during the study. In general, only a 10% of the 108 procedures handling made suitable had transfusionals. In this palpable reality in the day to day routine in the area of study, standards must take effect that they regulate to the handling of proper utilization and application of blood transfusion and hemoderivatives, capacitating the workpeople of health they manipulate, administrate, prescribe and they are immersed in the utilization of the sanguine compounds in order to change step by step reality, offering the user an safty attention and decreasing possible complications.