[Expert Solution]: A 61 y/o patient with a PMH significant…

A 61 y/o patient with a PMH significant for ETOH abuse and subsequent liver cirrhosis is admitted to the ICU c/o 3 days of hematemesis and dark, tarry stools. The patient’s hemoglobin on admission was 5.0 g/dl, and the patient was transfused 3 units PRBC with subsequent improvement in his hemoglobin level to 8.0g/dl. The patient was taken for emergent endoscopy, with successful banding of two actively bleeding esophageal varices. The patient was transferred to the ICU after endoscopy with plan for strict NPO status, H&H Q4H, and plan for emergent TIPS procedure by IR in the event of recurrent bleeding. 1.) What are indications for blood transfusion? What are some considerations for the RN before, during, and after blood transfusion? 2.) What are common s/s of a transfusion reaction, and how would the RN manage this medical emergency? 3.) Please discuss the concept of a balanced transfusion strategy. What are implications for the nursing management of the patient requiring transfusion of multiple blood products?