Blood Administration Flashcards
IV gauge needed for blood transfusion
18-20
What are the only fluids to be hung with blood products?
NS
Nurse + lab tech order identifiers
pt name ID number blood type blood donor number expiration date
Nurse + Nurse identifiers
pt name ID number number on blood bag ABO group (on blood bag) Rh type (on blood bag)
How soon must blood be administered after receiving it from the blood bank?
within 30 minutes
How full should the drip chamber be?
At least 1/3 full
How long should you initially stay with a pt after beginning a transfusion?
15 minutes
What to do if a reactions occurs?
Stop the transfusion
Saline flush at the lowest port
Contact HCP
What to do after the first 15 minutes of the transfusions/pt observation?
check VS
transfuse blood at the required rate
Blood can not be transfused longer than ___ hours
4
How often to assess the pt?
every 30 minutes until 1 hour post transfusion
s/sx of administering contaminated blood
high fever
chills
V/D
hypotension
hemolytic reaction s/sx
chills fever HA dyspnea cyanosis chest pain tachy hypotension
febrile reaction s/sx
fever chills warm-flushed skin HA anxiety
mild allergic reaction s/sx
flushing itching urticarial bronchial wheezing
severe allergic reaction s/sx
dyspnea
chest pain
circulatory collapse
cardiac arrest
circulatory overload s/sx
cough dyspnea crackles, rales distended neck veins tachy HTN
contaminated blood interventions
DC transfusion start saline assess pt notify HCP send remaining blood to lab obtain blood specimen from pt administer IV fluids, abx as ordered
hemolytic reaction interventions
DC transfusion start saline assess pt notify HCP implement protocol send remaining blood to lab obtain blood specimen and urine sample from pt
febrile reaction interventions
DC transfusion start saline assess pt notify HCP administer antipyretics restart at a slower rate
mild allergic reaction interventions
DC transfusion start saline assess pt notify HCP administer antihistamines as ordered
severe allergic reaction interventions
DC transfusion start saline assess pt notify HCP monitor VS administer CPR if necessary give meds and O2 as ordered
circulatory overload interventions
slow/stop transfusion place pt in upright position, feet dependent assess pt call HCP immediately five diuretics and O2 as ordered
