Psychology, family and everyday life

Showering around a transfusion: when and how

After a transfusion you are watched for a while for any reaction, and the access site may be fresh. When and how you shower follows a few simple rules.

Last updated: ~1 min read
A bright bathroom with a walk-in shower
Figure 1.Showering around a transfusion

01Short answer

In the first hours after a transfusion, avoid very hot showers and long baths: dizziness or shivering could hide or worsen a reaction. Ask your team for the exact timing. Use warm water, keep it short and use a shower chair. If a cannula was used in your arm, keep the dressing dry for as long as your team says. With a central line, always use a waterproof cover (“Keeping the catheter dry: what to use and how”). After showering, take your temperature and check your skin for a rash or itching. Call at once for a temperature, chills, a rash or breathlessness.

02Simple explanation

Ask about timing.

Warm and short.

Access site: dry.

Reaction: call.

03Scientific explanation

MedlinePlus: transfusion reactions usually happen during the transfusion or soon after, but delayed reactions are possible.

NCI: chemotherapy can lower neutrophils, platelets and red cells, which raises the risk of infection, bleeding and fatigue.

04What happens in the body?

Delayed reaction

A temperature or jaundice can appear days later.

Hot water

Widens blood vessels and can increase dizziness.

A sterile dressing
Figure 3.A sterile dressing — Showering around a transfusion: when and how

Neutrophils

The first defence against infection; when they are low, hygiene matters most.

Platelets

Help blood clot; when they are low, protect yourself from injury.

05Daily protection: four steps

Wash, protect, check, report.

Wash — Hands and personal hygiene.1WashHands and personal hygiene.
Protect — Against injury and infection.2ProtectAgainst injury and infection.
Check — Temperature and skin.3CheckTemperature and skin.
Report — Tell your team about changes.4ReportTell your team about changes.
HygieneClean hands.
TemperatureThe 38 °C threshold.
ProtectionYour team's rules.

06Key points at a glance

TopicIn brief
Delayed reactionA temperature or jaundice can appear days later.
Hot waterWidens blood vessels and can increase dizziness.
NeutrophilsThe first defence against infection; when they are low, hygiene matters most.
PlateletsHelp blood clot; when they are low, protect yourself from injury.

07Key terms

Cannula
A short line in a vein in the arm.
Delayed reaction
A reaction that appears days after a transfusion.
ANC
Absolute neutrophil count.
Thrombocytopenia
A low platelet count.

08Key points

  • Wait.
  • Wash warm.
  • Check.
  • Wash your hands.
  • 38 °C: call.

09Frequently asked questions

Can I shower the same day?

Often yes, after the time your team gives.

My dressing got wet.

Tell your team; it may need changing.

What should I watch every day?

Temperature, bleeding, tiredness and the catheter site; tell your team about any change.

10Questions for your doctor

Take these questions to your appointment. The ones you save are collected on the “My questions” page and stay on this device only.

  1. Can I shower the same day?

  2. My dressing got wet.

  3. What should I watch every day?

My questions

12Sources

  1. MedlinePlus. Blood transfusions
  2. NHS. Blood transfusion
  3. National Cancer Institute. Infection and Neutropenia during Cancer Treatment
  4. National Cancer Institute. Bleeding and Bruising (Thrombocytopenia) and Cancer Treatment
  5. National Cancer Institute. Anemia and Cancer Treatment
  6. World Health Organization. World Hand Hygiene Day
  7. World Health Organization (WHO). Five keys to safer food manual
  8. National Cancer Institute (NCI). Fatigue and Cancer Treatment
  9. National Cancer Institute (NCI). Adolescents and Young Adults with Cancer
  10. MedlinePlus (U.S. National Library of Medicine). Central venous catheters - ports
Medical disclaimerThis information is for educational purposes only and does not replace medical advice.
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