Blood Transfusion

Question 1

What are some considerations for infusing whole blood

Answer 1

prime tubing with NS before hanging blood
Admin blood within 4 hrs of removal
Infuse the first 25 ml slowly over 15 min watching the patient for adverse effects
After that most patients can handle one unit over 1.5 hrs
monitor patient lung sounds for crackles
Separate line

Question 2

What is whole blood compatible with

Answer 2

NS .9
5% albumin
plasma protein fraction
compatible plasma

Question 3

what rate can health chronic anemia adults handle with whole blood

Answer 3

3-4 ml/kg/hr

Question 4

What does PRBC stand for

Answer 4

packed RBCS

Question 5

How much will hemoglobin and hematocrit increase with average 155 lbs pat after infused with PRBC’s

Answer 5

usually 1g for hemoglobin

2-3% for hemat

Question 6

Do patients with iron deficiencies get PRBCs

Answer 6

no they get iron supps

Question 7

What are considerations for admining PRBC’s

Answer 7

Prime the tubing with NS before hanging bag of blood
They last 4 hrs
separate line

Question 8

What are PRBC’s compatible with

Answer 8

same as whole bloood

Question 9

What are the two preparations of platelets

Answer 9

random-donor

single donor

Question 10

How much does a unit of platelets increase the platelet concentrationi

Answer 10

5000 platelets/mcl

Question 11

What type of patient shouldnt receive platelet infusions

Answer 11

Immune thrombocytopenic purpura
prophylactically after high concentrations of heparin
or after large volumes of citrate

Question 12

What are some considerations for admining platelets

Answer 12

4 hrs
use a filter
infants and small children must need ABO compatibility or reduced-volume ABO incompatible
platelets

Question 13

What does FFP stand for

Answer 13

Fresh frozen plasma

Question 14

What does FFP contain

Answer 14

all normal components of plasma including clotting factors and 200-400 mg of fibrinogen

Question 15

On average how much will FFP increase clotting facts

Answer 15

2-3%

Question 16

FFP shouldnt be admined as a volume expander or as a prophylactic measure in patients with

Answer 16

a recent massive blood transfusion

protracted pulmonary bypass

Question 17

What patients should be monitored closely with FFP and why

Answer 17

those receiving more than one unit because it is a isotonic volume epander

Question 18

What are signs of Acute hemolytic transfusion reactions

Answer 18

temperature increase of more than 2 F (1 C)
• bloody urine
• chills
• hypotension
• severe low back, flank, or chest pa

Question 19

What should you do if your patient is experiencing Acute hemolytic transfusion reactions

Answer 19

immediately stop transfusion
hang NS .9 with new tubing
call for assistance

Question 20

What are some considerations when administering FFP

Answer 20

use ASAP after thawed, never past 6 hrs
use filter
needs to be ABO compatible but RH doesnt matter

Question 21

What do all blood products need when administering

Answer 21

a filter