Blood Product And Haemorrage

Question 1

Main blood groups

Answer 1

A
B
AB
O

Question 2

3 P’s of Blood Products

Answer 2

Patient
Pack
Prescription

Question 3

What to do if a transfusion reaction occurs?

Answer 3

Stop transfusions
Check vitals and monitor
Rapid Response
Recheck 3 Ps
Notify MO

Question 4

Symptoms of blood transfusion reaction:

Answer 4

Anxiety
Sense of impending doom
Unwell
Rash/itchy
Tachycardia
Hyper or hypotension
SOB
Wheeze
⬇️ O2 Sats
Stridor
N/V
Oliguria

Question 5

What is critical bleeding?

Answer 5

A major haemorrhage that has the potential to threaten life and may need massive transfusion

Question 6

What does MTP stand for?

Answer 6

Massive Transfusion Protocol

Question 7

Nursing interventions for MBP

Answer 7

Optimise O2, CO perfusion and metabolic state.
Monitor every 30 - 60 mins
FBC - coagulation screen, ionised Calcium, arterial blood gas.
Aim for temperature of ^35. pH 7.2 base excess <-6. Lactate <4. Ca2+: >1.1. Platelets of 50x10/L. PT/APTT <1.5 x normal. INR 1.5. Fibrinogen >1