Blood admin

Question 1

What type of blood product is this?

Time completed: 2 - 4 hr
Use:
* Replace volume
* Hemorrhage
* Surgery
* Trauma
* Burns
* Shock
Rxn:
* Acute hemolytic
* Febrile
* Anaphylactic
* Mild allergic
* Hypervolemia
* Sepsis

Answer 1

Whole blood

Question 2

What type of blood product is this?

Time completed: 2 - 4 hr
Use:
* Increase available RBC
* Severe anemia
* Hemoglobinopathies
* Hemolytic anemia
* Erythroblastosis fetalis
Rxn:
* Acute hemolytic
* Febrile
* Anaphylactic
* Mild allergic
* Sepsis

Answer 2

Packed RBC’s

Question 3

What type of blood product is this?

Time completed: 15 - 30 min
Use:
* Increase platelet count
* Active bleeding
* Thrombocytopenia
* Aplastic anemia
* Bone marrow suppression
Rxn:
* Febrile
* Sepsis

Answer 3

Platelets

Question 4

What type of blood product is this?

Time completed: 30 - 60 min
Use:
* Replace clotting factors
* Hemorrhage
* Thrombotic thrombocytopenic purpura (TTP)
* Reverse effects of warfarin
* Shock
* Burns
Rxn:
* Acute hemolytic
* Febrile
* Anaphylactic
* Mild allergic
* Hypervolemia
* Sepsis

Answer 4

FFP

Question 5

What type of blood product is this?

Time completed: 45 - 60 min
Use:
* Severe neutropenia
* Neonatal sepsis
* Neutrophil dysfunction
Rxn:
* Acute hemolytic
* Febrile
* Anaphylactic

Answer 5

Pheresed granulocytes

Question 6

What type of blood product is this?

Time completed:
* 5% (1 to 10 ml/min)
* 25% (4 mL/min)
Use:
* Expand volume via oncotic changes
* Hypovolemia
* Hypoalbuminemia
* Burns
* Severe nephrosis
* Hemolytic disease of the newborn
Rxn: Risk for hypervolemia and pulmonary edema

Answer 6

Albumin

Question 7

Verifying patient ID and blood type requires what?

Answer 7

2 nurses

Question 8

Before administration what needs to be obtained?

Answer 8

Baseline vitals

Temp most important

Question 9

What guage IV is needed?

Answer 9

18-20g

Question 10

After initiating a blood transfusion, how long must a nurse stay to monitor for a rxn?

Answer 10

15 min

Question 11

What steps need to be taken if a transfusion reaction occurs when administering blood

Answer 11

• Stop blood immediately and take vital signs.
• Infuse 0.9% sodium chloride.
• Notify the provider.
• Follow facility policy (send urine sample, CBC, and bag and tubing to laboratory for analysis).