Blood Administration Flashcards
What must be received before a blood transfusion is started?
A signed written consent
Which blood type is considered universal and can be used for all other donors?
Type O Negative
Which blood type is considered the universal recipient and can recieve all blood types?
Type AB positive
What is the most common infection spread through blood transfusion?
Hepatitis B
In order to determine donor compatibility, what test must be done?
Type and cross match
What must be done to determine a clients baseline before starting the trasnfusion?
Take the vital sign
What size IV gauge must the client have for blood transfusion?
18 gauge with filter needle
How many nurses confirm the unit of blood?
2
How long after blood is removed from the blood bank’s refrigerator should it be started?
30 minutes
How long must the nurse stay with the client after the transfusion is started?
15 minutes
How many mLs are in one unit of packed red blood cells?
About 250 mL
What are signs of an adverse reaction with blood transfusion?
-Restlesseness
-Nausea
-hives
-SOB
-fever
-chills
-backpain
Why is blood administered at a slow rate?
Because running blood fast can cause fluid overload in patients.
Which drug is used to treat anemia because it increases red blood cell production?
Epoetin Alfa?
Clients taking Epoetin Alfa should be monitored for what?
Hypertension and seizure
Clinical priority 1 :
What should the nurse get from the patient for a blood transfusion?
Consent (unless its emergency)
Clinical priority 2 :
What should the nurse check before administration of blood transfusion?
Vital signs
Clinical priority 3:
The nurse should confirm the blood type match with how many nurses befor administration?
2 Licensed nurses
Clinical priority 4:
How many minutes would the nurse first and afterwards monitor the patient?
The first 15 minutes the nurse would stay in the room with the patient after no reaction noted the nurse would monitor the patient for 30 minutes.
Clinical priority 5:
if transfusion reaction occurs what would the nurse do?
Stop the blood, but continue to run the normal saline that is hung with the blood.
Clinical priority 6
What would the nurse collect from the client as soon as reaction is noted?
Urine and blood cultures as soon as possible
Clinical priority 7:Last step
Whom should the nurse notify of the blood transfusion reaction?
The physician (HCP)
Clinical priority 7:Last step
Whom should the nurse notify of the blood transfusion reaction?
The physician (HCP)
