Blood stuff

Question 1

What do you use blood products for

Answer 1

blood volume
clotting factors
replace loss
improve O2 carrying capacity

Question 2

Whole blood

Answer 2

For: blood loss
blood volume up
reactions often

Question 3

Packed Red Blood Cells PRBCs

Answer 3

For: severe anemia
RBC only up
reactions often

Question 4

Platelet concentrate

Answer 4

For: thrombocytopenia, bone marrow suppression, aplastic anemia, active bleeding
platelet count up
Reaction usual

Question 5

Fresh frozen plasma

Answer 5

For: active bleeding, massive hemorrhage, burns, shock, DIC, replacing coat factors
Can have reaction

Question 6

Apheresed granulocytes

Answer 6

For: neutropenia, life threatening infections not responding to abx therapy, neonatal sepsis
easy to get various reactions

Question 7

Albumin

Answer 7

For: hypovolemia, burns, respiratory distress, cardiac bypass surgery, hemolytic disease of newborn
risk for fluid volume excess

Question 8

Who doesn’t get blood

Answer 8

Jehovahs witness
right to refuse

Question 9

Blood transfusion process

Answer 9

Monitor necessary values
Second RN
informed signed consent
Assess fluid overload risk
Get vitals: before, 15min, hourly, after
20 gauge or larger needle & filtered tubing
Hang immediately only have 4hrs
hang w/0.9% sodium chloride change after 2 units
NO OTHER MEDS
chart

Question 10

Times

Answer 10

Whole blood/PRBCs: 2-4 hrs
Platelet: 15-30 min/unit
FFP: 30-60 min/unit
WBC: 45-60 min
Albumin: 15-30 min