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Clinical 1365 > Blood Transfusion > Flashcards

Blood Transfusion Flashcards

1
Q

PRBC Packed Red Blood Cells
(Whole Blood)

Must he given with in ….

A

4 hours max

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2
Q

PLT Platelets

Must be given how long after taken from fridge

A

30 mins

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3
Q

FFP Fresh Frozen Plasma
Clotting factors - To ensure client does bleed out

Must be given

A

With in 60 min

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4
Q

Why give PRBC (packed red blood cells)
Which labs / values

A

Hemoglobin (Hbg) <7 Emergency
8 - 11 report to HPC

Hemacrit >30%

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5
Q

Shock happens when there is too little blood in the system.

Name S/S (3)

A

Pale skin
Cool clammy
Fatigue/weakness

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6
Q

Motor vehicle accident victim
Thready Pulse
Decreased BP
Rapid Respirations

Not responding to 2nd fluid bolus

Which treatment do you anticipate

A

PRBC Packed Red Blood Cells

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7
Q

Patient has

Hgb 8g/dL
Hct 35%

After infusion of 1 unit PRBC

What do you expect the findings to be

A

9 Hgb
38% Hct

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8
Q

Platelets

<150,000 =

<50,000 =

A

<150,000 = Thrombocytopenia

<50,000 = Deadly

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9
Q

Low platelets from these 2 diseases

A

Cancer

Anemia

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10
Q

FFP Fresh Frozen Plasma

Does what

Which 2 diseases are associated with lack of clotting factors

A

It’s the “Glue” that sticks platelets together

Hemophilia & Liver failure

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11
Q

Transfusion Reactions

Priority interventions

1.
2.
3.
4. Assess, What are we assessing for?

A
  1. Stop or slow infusion
  2. Using new tubing 0.9% sodium chloride
  3. Report to HCP
  4. Assess, Vital Signs, Urine Sample (hemolyzed RBC)
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12
Q

Hemolyzed RBC means what?

What is the serious side effect?

A

Hemolyzed = broke

Hyperkalemia >5 (Peaked T Waves on ECG)

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13
Q

Ordered Response to Reaction to Blood Transfusion

(6)

A
  1. Stop transfusion
  2. Hang new IV infusion set
  3. Start 0.9% NaCl
  4. Call HCP
  5. Assess BP,HR,RR
  6. Obtain blood and urine specimens
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14
Q

Reaction Type

Flushing
Itchy

Interventions

A

Febrile reaction

Acetaminophen
Diphen-hydramine

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15
Q

Reaction Type

Wheezing
Hives
Hypotension

Intervention

A

Anaphylaxis

Epinephrine & steroids

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16
Q

Reaction Type

Lung crackles
Restlessness
Dark urine
SOB & dyspnea
JVD

Interventions

A

Circulatory Overload

Interventions:
Slow infusion to max time 4 hours
Wait 2 hrs between infusions

H: HOB elevated
O: Oxygen
P: Push diuretics
E: End all IV fluids

17
Q

Blood Transfusion Patient

Dyspnea
Crackles
Restlessness

Priority intervention

A

Slow rate of blood Transfusion

Max 4 hrs

18
Q

Type of reaction

Hypotension
Low back pain
Fever tachycardia
Urine specimen

Intervention

A

Hemolytic

Stop transfusion
Flush 0.9% NaCl

19
Q

Before giving transfusion (3)

A
  1. Name & Blood Product must be verified by 2 RNs
  2. Vital signs & every 15 minutes during infusion
  3. Prep. 18G - IV catheter
    Two Tubings
    (A) Blood Tubing with filter
    (B) 0.9% sodium chloride (NS)
20
Q

During Blood Transfusion

A

Stay 15 minutes at bedside

21
Q

After infusion of Blood Products

The nurse does….

A

Infusion of 0.9% NS

22
Q

What is Autologous Transfusion Blood?

A

Blood that is frozen for a persons Own Use.

Jehova Wittness

23
Q

Universal Donor =

Universal Receiver=

A

Universal Donor = O

Universal Receiver= AB

24
Q

Indirect COOMB’s Test

For what?

A

RH factor in blood is positive or negative

25
Q

Which medicine is given to RH negative clients, pregnant with 2nd child?

Why?

A

RhoGAM

Given to protect the baby from

HDN: Hemolytic Disease of the Newborn

Mother’s negative antibodies will attack child’s positive. Hemolytic

26
Q

Which are correct before administration of PRBC in a client with anemia

  1. Ensure patient has functioning central venous catheter
  2. Have 2 RNs check the prescription
  3. Assess HgB & Hct
  4. Ausculate heart & lung sounds
  5. Prepare bag of lactated ringers to administer with blood.
A
  1. Have 2 RNs check the prescription
  2. Assess HgB & Hct
  3. Ausculate heart & lung sounds
27
Q

Priority nursing action
Fever & tachycardia, during infusion of PRBC

A

Stop infusion

Clinical 1365 (3 decks)

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