Blood Products

Question 1

Whole blood is used for

Answer 1

increasing circulation blood volume

Burns, shock, dehydration

Question 2

PRBCs used for

Answer 2

increase number of RBCs

Question 3

PRBCs uses

Answer 3

severe anemia
Hemoglobinopathies
Med induced anemia
Erythroblastosis fetalis

Question 4

Fresh frozen plasma FFP used for

Answer 4

replaces coagulation factors

active bleeding/hemorrhage
burns
shock
reversal of warfarin

Question 5

crossmatching requires testing of

Answer 5

A & B antibodies

Rh antigens

Question 6

After client sample is taken it is

Answer 6

mixed with donor RBCs

Question 7

If there is evidence the client blood has anitbodies that recognizes the donor RBCs as foreign..

Answer 7

transfusion would cause a hypersensitivity reaction & the donor blood & client blood are not compatible

Question 8

Albumin uses

Answer 8

hypovolemia
hypoalbuminemia
burns
respiratory distress
hemolytic diseases of newborns 

Risk for fluid volume excess

Question 9

Acute hemolytic reaction s/s

Answer 9

Chills
Fever
low back pain
tachycardia
Tachypnea
hypotension

Question 10

Febrile reactions r/t

Answer 10

antibodies against donor WBCs

Question 11

in older adults @ risk for fluid overload

Answer 11

transfuse 1 unit of PRBCs over 2-4 hrs avoiding any concurrent fluid infusion into another IV site

Question 12

If fusion reaction occurs:

Answer 12

Stop transfusion
Admin .9% sodium cholride
document 
stay with client
notify blood banks
obtain urine sample--determine RBC hemolysis
insert cath to monitor urine output
Repeat type & † match obtain CBC/bilirubin
Complete transfusion log sheet