According to Smeltzer (2005, P. 981), in the physical examination it must: to evaluate the respiratory system, auscultates including it careful of the pulmes and the use of accessory muscle, to evaluate the cardiac system including the careful inspection for any edema and signals of cardiac insufficience, must be observed the skin how much exantemas, petquias and equimoses and be examined escleras for the jaundice. For being an activity of the nurse, it must always is intent for some cares that must be taken before, during and after the installation of the components to be transfundidos, thus preventing a damage to the patient or an error on the part of the professional who could be fatal to the patient. FIOCRUZ (2000, p.74) divides the cares in the transfusion in three stages: Cares in the Installation of the transfusion: to Verificar medical lapsing, to confer given of the handbook, to identify the customer necessarily; to Conferir the passed time enters the exit of hemocomponente of the hemoterapia service and the beginning of transfusion, this does not have to be superior the 30 minutes; Apresenta it the customer, communicating the procedure the one that will be submitted; Avaliar the aspect (color, validity, integrity, hemlise and cogulo) and rotulao of the component; to Conferir the data of the label of the component to be transfundido; To mount the transfusional system, having to use one I equip proper for the transfusion. To verify and to write down the vital signals of the patient before initiating the transfusion of any hemocomponente; to Escolher calibroso venoso access for the puno, if the vein already will be punched, all the other medications that will be being infundidas in this venosa line must be suspended until it finishes the transfusion. Final the blood is forbidden to the concomitant infusion of any substance together with, the only exception to this rule is the physiological serum.
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