Blood Product Administration Flashcards
what should blood be infused with?
ONLY normal saline EVER
how long are blood consents good for?
1 year
when is a transfusion reaction most likely to occur?
in the first 15 minutes - first 50 mL of blood
what vital is most important when monitoring for a transfusion reaction?
temperature
s/s of transfusion reactions
chills, SOB, hives, itching, back pain, “just don’t feel right/good”
if the patients temperature increases, what should you do?
take the blood down - start a KVO, continue monitoring
how long should it take for 1 unit of PRBCs to be infused?
2-4 hours - no longer than 4
what is the max that blood can hang? why?
4 hours - risk of bacterial contamination too great after 4 hours
in what situation would a blood warmer be used? why?
if a pt requires a rapid transfusion through a central line - rapid transfusion of cold blood causes dysrhythmias
what electrolyte imbalance could occur from blood transfusions?
hyperkalemia
about how much is in 1 unit of PRBCs?
250mLs, exact amount can’t be guaranteed
what kind of blood can type O recieve?
O blood
what blood type is considered the universal donor?
type O
Who can type A people give blood to?
A and AB
who can type B people give blood to?
B and AB
can a positive person receive negative blood?
YES
can a negative person receive positive blood?
NO
reasons why someone would get PRBCs
severe anemia, low hemoglobin & hematocrit, severe blood loss
why would someone get a platelet transfusion
because they have low platelets. (below 10,000 typically)
s/s of low platelets
bruising, long clotting time, bleeding, petechiae, hematuria
do platelets have to be cross matched
NO - sometimes they can have a reaction tho
what should you do for a patient who has had a transfusion reaction to platelets in the past but they still need platelets?
premedicate with diphenhydramine and acetaminophen
how long should it take for 1 unit of platelets to be transfused?
15-30
why would someone get FFP
to replace volume & clotting factors
