Blood Transfusion Flashcards
What are some considerations for infusing whole blood
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
What is whole blood compatible with
NS .9
5% albumin
plasma protein fraction
compatible plasma
what rate can health chronic anemia adults handle with whole blood
3-4 ml/kg/hr
What does PRBC stand for
packed RBCS
How much will hemoglobin and hematocrit increase with average 155 lbs pat after infused with PRBC’s
usually 1g for hemoglobin
2-3% for hemat
Do patients with iron deficiencies get PRBCs
no they get iron supps
What are considerations for admining PRBC’s
Prime the tubing with NS before hanging bag of blood
They last 4 hrs
separate line
What are PRBC’s compatible with
same as whole bloood
What are the two preparations of platelets
random-donor
single donor
How much does a unit of platelets increase the platelet concentrationi
5000 platelets/mcl
What type of patient shouldnt receive platelet infusions
Immune thrombocytopenic purpura
prophylactically after high concentrations of heparin
or after large volumes of citrate
What are some considerations for admining platelets
4 hrs
use a filter
infants and small children must need ABO compatibility or reduced-volume ABO incompatible
platelets
What does FFP stand for
Fresh frozen plasma
What does FFP contain
all normal components of plasma including clotting factors and 200-400 mg of fibrinogen
On average how much will FFP increase clotting facts
2-3%
FFP shouldnt be admined as a volume expander or as a prophylactic measure in patients with
a recent massive blood transfusion
protracted pulmonary bypass
What patients should be monitored closely with FFP and why
those receiving more than one unit because it is a isotonic volume epander
What are signs of Acute hemolytic transfusion reactions
temperature increase of more than 2 F (1 C) • bloody urine • chills • hypotension • severe low back, flank, or chest pa
What should you do if your patient is experiencing Acute hemolytic transfusion reactions
immediately stop transfusion
hang NS .9 with new tubing
call for assistance
What are some considerations when administering FFP
use ASAP after thawed, never past 6 hrs
use filter
needs to be ABO compatible but RH doesnt matter
What do all blood products need when administering
a filter
