Blood/ blood products

Question 1

What is considered a blood product?

Answer 1

Whole blood
Packed RBC
Platelets
Plasma
WBC
Albumin

Question 2

Whole blood is for

Answer 2

acute blood loss, volume expansion after trauma

Question 3

Packed RBC are for

Answer 3

severe anemia(easy reactions)

Question 4

Platelets are for

Answer 4

active bleeding, bone marrow suppression, aplastic anemia

Question 5

Frozen plasma is for

Answer 5

replacing coagulation factors, active bleeding, burns

Question 6

Albumin is for

Answer 6

hypovolemia, cardiac bypass, burns, resp distress

Question 7

How to give blood

Answer 7

Moniter/determine labs
Verify order/consent with second RN
Assess risk for fl overload
Vitals before, 15 min, hourly, end
Insert 20 guage or larger IV
Use filtered tubing
Hang with 0.9% sodium chloride(change after 2 units)
transfuse for max 4 hrs
No other meds
Chart

Question 8

What size IV is used for getting blood

Answer 8

20 guage or larger(smaller #)

Question 9

When do you check vitals during blood

Answer 9

Before, 15min, hourly, end

Question 10

How long does it take whole blood/pRBC to transfuse?

Answer 10

2-4 hours

Question 11

How long does it take platelets to transfuse?

Answer 11

15-30 min

Question 12

How long does it take FFP(plasma) to transfuse?

Answer 12

45-60 min

Question 13

How long does it take Albumin to transfuse?

Answer 13

15-30 min

Question 14

Complications to getting blood

Answer 14

Acute hemolytic reaction
Febrile nonhemolytic reaction
Anaphylactic reaction
Circulatory overload
Sepsis
Hyperkalemia
Graft vs host disease

Question 15

Acute hemolytic reaction

Answer 15

Back pain, bloody urine

Question 16

Fluid overload

Answer 16

Swollen feet, cough/crackle in lungs