blood administration lab Flashcards
how long is type and cross match valid for prior to infusion
28 days
how long is type and cross match valid for after infusion and why
72 hours because the body could have made antibodies
how long before should you administer pre-transfusion medications
30 minutes
when is blood band placed
after type and cross match
what does REACTION stand for in blood transfusion reaction
rash, elevated temp, aching back, chest pain/chills, tachycardia, increased respiration, oliguria, N/V
what should you do if you suspect a transfusion reaction
stop transfusion, disconnect all tubing and products, get a new set of tubing and run NS, check VS, call doc and blood bank, document
what is an acute intravascular hemolytic reaction caused by and what happens
most severe, caused by RH/ABO incompatibility causes vascular collapse (hypotension and renal damage)
how ofter should you monitor someone with an acute intravascular hemolytic reaction
VS every 15 minutes, UOP every hour
what are some ss of severe blood transfusion reaction
increased HR, fever, nausea, back pain, chest tightness, SOB, dyspnea, anxiety
what is febrile nonhemolytic reaction
someone who has had multiple blood transfusion is more likely to have a blood transfusion reaction
what is the max time for blood transfusion
4 hours
what all should be on the lab tube for blood
Patient name, DOB, MRN #, date and time collected, initals of who collected it
what size gage should you use for blood transfusions
20g
18g if pressure device in place
what does dextrose do when mixed with blood
RBC aggregation
what does LR do when mixed with blood
reacts with citrate which is used to preserve blood (clots)
