Anemia ppt/2

Question 1

TRALI

Answer 1

sudden development of non-cardiogenic pulmonary edema

Question 2

results in agglutination of cells, which can obstruct capillaries and block blood flow

Answer 2

acute hemolytic reaction

Question 3

allergic reaction s/s

3

Answer 3

1. facial flushing
2. hives/rash
3. scratchy

Question 4

TRALI stands for

Answer 4

transfusion related acute lung injury

Question 5

recipient is sensitive to plasma proteins of the donor’s blood

Answer 5

allergic reaction

Question 6

blood infusion IV G

Answer 6

18 or bigger

Question 7

fibrinolytic system function

Answer 7

breaks down newly formed clots creating fibrin split products, which have anticoag properties and inhibit normal blood clotting

Question 8

massive blood transfusion reaction is an imbalance of

Answer 8

normal blood elements

Question 9

a blood transfusion reaction most often occurs when

Answer 9

in the first 10-15 mins or first 50 cc of blood

Question 10

transfusion reaction - sepsis

Answer 10

bacterial contamination of blood product

Question 11

acute hemolytic reaction s/s

6

Answer 11

1. chills
2. fever
3. increased HR
4. hypotension
5. chest pain
6. lumbar pain

Question 12

is DIC a disease

Answer 12

no

Question 13

circulatory overload - what increases this risk

Answer 13

large quantities over short periods of time

Question 14

febrile reaction can be prevented by

Answer 14

using additional filters to leukocyte deplete the RBCs and platelets or ordering leukocytes poor blood products

Question 15

blood infusion VSs

Answer 15

VSs before infusion

VSs 15 mins after started

Question 16

can give acetaminophen and diphenhydramine 30 mins prior to infusion to prevent this reaction

Answer 16

febrile

Question 17

leader in transfusion-related deaths

Answer 17

TRALI

Question 18

transfusion reaction - acute hemolytic

Answer 18

most commonly caused by ABO incompatible blood

Question 19

TRALI usually occurs when

Answer 19

2-6 hours after transfusion, but may occur up to 72 hours after transfusion

Question 20

febrile infusion - can give what

Answer 20

acetaminophen and diphenhydramine 30 mins prior to infusion to prevent this reaction

Question 21

allergic reaction - what may be used to treat a severe reaction
2

Answer 21

1. epinephrine

2. corticosteroids

Question 22

anemia diagnostic tests lab findings

4

Answer 22

1. lot plts and fibrinogen
2. prolonged clotting times
3. elevated fibrin split products
4. D-dimer elevated

Question 23

DIC

Answer 23

abnormal response of the normal clotting cascade stimulated by a disease process or disorder

Question 24

thrombotic s/s

6

Answer 24

1. cyanosis
2. ischemic tissue necrosis
3. tachypnea
4. pulmonary emboli
5. paralytic ileus
6. kidney damage

Question 25

DIC causes widespread what

Answer 25

fibrin and platelet deposit in capillaries and arterioles, resulting in thrombosis

Question 26

circulatory overload - pts with what are at risk for this | 2

Answer 26

cardiac or renal disease

Question 27

fibrinolytic system function ultimately does what

Answer 27

clotting factors are depleted and blood is unable to clot

Question 28

usually occurs 2-6 hours after transfusion, but may occur up to 72 hours after transfusion

Answer 28

TRALI

Question 29

sudden development of non-cardiogenic pulmonary edema

Answer 29

TRALI

Question 30

blood infusion - prime tubing with

Answer 30

NS only

Question 31

massive blood transfusion reaction is a complication of

Answer 31

transfusing large quantities of blood products

Question 32

acute hemolytic reaction - hemolysis of RBCs does what

Answer 32

releases hgb that is excreted in the kidneys and may obstruct renal tubules

Question 33

abnormal response of the normal clotting cascade stimulated by a disease process or disorder

Answer 33

DIC

Question 34

blood administration procedure | 9

Answer 34

1. consent signed 2. lab does type and cross 3. IV 18 G or larger 4. VSs prior 5. set up Y type tubing 6. get blood from bank 7. bedside verification 8. start infusion 9. educate

Question 35

most commonly caused by ABO incompatible blood

Answer 35

acute hemolytic reaction

Question 36

DIC - clotting inhibitor mechanisms are

Answer 36

depressed, resulting in activation of the fibrinolytic system

Question 37

pts with cardiac or renal disease are at risk for this transfusion reaction

Answer 37

circulatory overload

Question 38

reaction - prevent with antihistamines

Answer 38

allergic reaction

Question 39

acute hemolytic reaction can cause what to kidneys | 3

Answer 39

1. acute renal failure 2. DIC 3. death

Question 40

febrile reaction is caused by

Answer 40

leukocyte incompatibility

Question 41

febrile reaction s/s | 6

Answer 41

1. headache 2. tachycardia 3. tachypnea 4. fever 5. chills 6. anxiety

Question 42

epinephrine or corticosteroids may be used to treat a severe reaction

Answer 42

allergic reaction

Question 43

delayed transfusion reactions include | 4

Answer 43

1. delayed hemolytic reaction 2. infections i.e. HIV, CMV, HTLV-1, EBV, malaria 3. iron overload 4. hep B or C

Question 44

allergic reaction - give what to prevent

Answer 44

antihistamines

Question 45

acute hemolytic reaction results in

Answer 45

agglutination of cells, which can obstruct capillaries and block blood flow

Question 46

transfusion allergic reaction

Answer 46

recipient is sensitive to plasma proteins of the donor's blood

Question 47

blood infusion reaction caused by leukocyte incompatibility

Answer 47

febrile reaction