Page 2406 - Saunders Comprehensive Review For NCLEX-RN

tendencies, and seizures. If noted, the PHCP is
notified immediately.
10. Abnormal liver function values may indicate
intolerance to or an excess of fat emulsion or
problems with metabolism with glucose and protein.
11. Abnormal renal function tests may indicate an excess
of amino acids.
12. PN solutions should be stored under refrigeration and
administered within 24 hours from the time they are
prepared (remove from refrigerator 0.5 to 1 hour
before use).
13. PN solutions that are cloudy or darkened should not
be used and should be returned to the pharmacy.
14. Additions of substances such as nutrients to PN
solutions should be made in the pharmacy and not on
the nursing unit.
15. Consultation with the nutritionist should be done on a
regular basis (as prescribed or per agency protocol).
E. Home care instructions (Box 69-3)
III. Administration of Blood Products
A. Blood products
1. Packed red blood cells (PRBCs)
a. PBRCs are a blood product used to
replace erythrocytes; infusion time for
1 unit is usually between 2 and 4
hours.

b. Each unit increases the

hemoglobin level by 1 g/dL
(10 mmol/L) and hematocrit by 3%
(0.03); the change in laboratory values
takes 4 to 6 hours after completion of
the blood transfusion.
c. Evaluation of an effective response is
based on the resolution of the
symptoms of anemia and an increase
in the erythrocyte, hemoglobin, and
hematocrit count.
d. Leukocyte-poor or leukocyte-depleted
units are units in which leukocytes,
proteins, and plasma have been
reduced. They are used to restore
oxygen-carrying capacity of blood and
intravascular volume.

Washed red blood cells (depleted of

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