Blood therapy

Question 1

Indications for blood administration: acute blood loss with what percent of blood volume lost and/or Hgb of ?

Answer 1

> 25-50% & Hgb of

Question 2

Indication/BA r/t surgery

Answer 2

pre-op w/ blood loss during surgery w/ Hgb of

Question 3

Clients with cardiopulmonary or other significant disease may develop s/s of tissue hypoxia w/Hct below what?

Answer 3

30%

Question 4

Client with anemia and symptomatic w/Hgb below what

Answer 4

6-7g

Question 5

How much will one unit of packed cells affect lab values H&H

Answer 5

> Hgb by 1g & >Hct by 3%

Question 6

Who is the universal donor?

Answer 6

O-

Question 7

Who is the universal recipient?

Answer 7

AB+

Question 8

What are prbcs used to treat?

Answer 8

anemia

Question 9

What are platelets used to treat?

Answer 9

thrombocytopenia & platelet dysfunctions

Question 10

How are platelets given?

Answer 10

Rapidly over 15-30 min`

Question 11

When are platelet counts evaluated?

Answer 11

1hr & 18-24 hrs after transfusion, each unit > 5000 to 10000 cells

Question 12

What is fresh frozen plasma used for?

Answer 12

to provide clotting factors or for volume expansion, infused w/i 2 h of thawing infused over 30-45 min

Question 13

Cryprecipitates

Answer 13

used to replace clotting factors usually r/t factor viii and fibrinogen

Question 14

granulocytes

Answer 14

treats sepsis or neutropenic client, monitor wbc for effectiveness

Question 15

what color is the sample tube

Answer 15

pink

Question 16

when do you apply the blood band

Answer 16

at the time of t&s or t&c

Question 17

crossmatching determines

Answer 17

compatibility

Question 18

RH neg can receive

Answer 18

only RH neg blood & pos/neg plasma

Question 19

RH pos can receive

Answer 19

neg or pos

Question 20

leukocyte poor cells are

Answer 20

washed rbcs

Question 21

who are washed red blood cells used for?

Answer 21

history of allergic transfusion reactions or hematopoietic stem cell transplant

Question 22

how are platelets given usually?

Answer 22

6 at a time

Question 23

Where do you verify blood from blood bank?

Answer 23

when you pick it up w/tech and then again at the bedside

Question 24

Observe patient for first ? min of transfusion

Answer 24

15 min

Question 25

what s/s should be reported during transfusion

Answer 25

n/v, chills, itching, rash, dyspnea, back pain, tachycardia

Question 26

If adverse reaction what do you do

Answer 26

stop transfusion, get VS, disconnect blood tubing, infuse NS with new tubing, notify HCP

Question 27

Once blood is checked out of blood bank, admin must begin w/i how many min?

Answer 27

30 min

Question 28

How long can blood hang & be used for?

Answer 28

4 hr

Question 29

If blood overload is a concern, HCP may order what

Answer 29

lasix