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Competency Exam > Blood Administration > Flashcards

Blood Administration Flashcards

1
Q

IV gauge needed for blood transfusion

A

18-20

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2
Q

What are the only fluids to be hung with blood products?

A

NS

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3
Q

Nurse + lab tech order identifiers

A 
pt name
ID number
blood type
blood donor number
expiration date
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4
Q

Nurse + Nurse identifiers

A 
pt name
ID number
number on blood bag
ABO group (on blood bag)
Rh type (on blood bag)
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5
Q

How soon must blood be administered after receiving it from the blood bank?

A

within 30 minutes

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6
Q

How full should the drip chamber be?

A

At least 1/3 full

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7
Q

How long should you initially stay with a pt after beginning a transfusion?

A

15 minutes

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8
Q

What to do if a reactions occurs?

A

Stop the transfusion
Saline flush at the lowest port
Contact HCP

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9
Q

What to do after the first 15 minutes of the transfusions/pt observation?

A

check VS

transfuse blood at the required rate

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10
Q

Blood can not be transfused longer than ___ hours

A

4

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11
Q

How often to assess the pt?

A

every 30 minutes until 1 hour post transfusion

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12
Q

s/sx of administering contaminated blood

A

high fever
chills
V/D
hypotension

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13
Q

hemolytic reaction s/sx

A 
chills
fever
HA
dyspnea
cyanosis
chest pain
tachy
hypotension
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14
Q

febrile reaction s/sx

A 
fever
chills
warm-flushed skin
HA
anxiety
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15
Q

mild allergic reaction s/sx

A 
flushing
itching
urticarial
bronchial
wheezing
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16
Q

severe allergic reaction s/sx

A

dyspnea
chest pain
circulatory collapse
cardiac arrest

17
Q

circulatory overload s/sx

A 
cough
dyspnea
crackles, rales
distended neck veins
tachy
HTN
18
Q

contaminated blood interventions

A 
DC transfusion
start saline
assess pt
notify HCP
send remaining blood to lab
obtain blood specimen from pt
administer IV fluids, abx as ordered
19
Q

hemolytic reaction interventions

A 
DC transfusion
start saline
assess pt
notify HCP
implement protocol
send remaining blood to lab
obtain blood specimen and urine sample from pt
20
Q

febrile reaction interventions

A 
DC transfusion
start saline
assess pt
notify HCP
administer antipyretics
restart at a slower rate
21
Q

mild allergic reaction interventions

A 
DC transfusion
start saline
assess pt
notify HCP
administer antihistamines as ordered
22
Q

severe allergic reaction interventions

A 
DC transfusion
start saline
assess pt
notify HCP
monitor VS
administer CPR if necessary
give meds and O2 as ordered
23
Q

circulatory overload interventions

A 
slow/stop transfusion
place pt in upright position, feet dependent
assess pt
call HCP immediately
five diuretics and O2 as ordered

Competency Exam (15 decks)

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