A transfusion of packed red blood cells has been prescribed for a 1-yearold with a sickle cell anemia. The infant has a 25-gauge IV infusing dextrose with sodium and potassium. Using the situation,...

A transfusion of packed red blood cells has been prescribed for a 1-yearold with a sickle cell anemia. The infant has a 25-gauge IV infusing dextrose with sodium and potassium. Using the situation, background, assessment, recommendation (SBAR) method of communication, the nurse contacts the primary health care provider and recommends:

1. Starting a second IV with a 22-gauge catheter to infuse normal saline with the blood.

2. Using the existing IV, but changing the fluids to normal saline for the transfusion.

3. Replacing the IV with a 22-gauge catheter to infuse the prescribed fluids.

4. Starting a second IV with a 25-gauge catheter to infuse normal saline with the transfusion.