Blood Transfusion Flashcards
If a transfusion reaction occurs what should the nurse do first
STOP the blood flow, start running the saline
How long can unit of blood be on. Unit before it must be started.
Less than 1/2hr
What are the signs and symptoms of transfusion reaction
Low back pain, wheezing,fever, hives
What are the three types of transfusion reaction that can occur
Hemolytic,febrile, allergic
What are the sign and symptoms of a hemolytic transfusion reaction
Shivering, HA, low back pain, increased pulse and respirations, decreasing BP, oliguria, hematuria
What are the sign and symptoms of a febrile transfusion reaction
Low back pain, shaking, HA, increase temp, confusion, hemoptysis
What are the sign and symptoms of a allergic transfusion reaction
Hives-urticaria, wheezing, pruritus, join pain (arthralgia)
Give three reasons for a blood transfusion
Restore blood vol. secondary to hemorrhage, maintain hemoglobin in Armenia, replace specific blood components
How long should you stay with the patient after the beginning a transfusion
@ least 15 to 30 mins
What is the routine for vital sign measurement with a transfusion
Once before administration and q15 mins 2x after administration is began, then 1q 1x after transfusion has stopped
What other things are appropriate to do after a reaction
Call MD, get a blood and urine sample, monitor vs, send blood to lab
Can blood be given immediately after removal from refrigeration
No, it has to be warned first for about 20 to 30 mins
What should the nurse measure before starting a transfusion
The vital signs
