BLOOD TRANSFUSION

Question 1

Blood types

Answer 1

A
B
AB- universal recipient
O universal donor

Question 2

Rh factor

Answer 2

Can only receive blood that is compatible with their own blood type

Question 3

cross matching

Answer 3

RBCs from donor mixed with sample of plasma from recipient.

Question 4

Reagent is added

Answer 4

Observe for agglutination (it clot or doesn’t clot)

Question 5

Blood transfusion can or can’t e delegated

Answer 5

can not

Question 6

blood transfusion

pre- procedure

Answer 6

1 verify order
2 obtain informed consent
3 assess allergies
4 check for history of blood trans
5 premedicate if needed
6 assess IV patenct and size
7obtain vitals, urine output and labs
8 gather supplies

Question 7

____plasma indicates ______
RBCs should be ___, not purple or black No large ____visible
___leakage

Answer 7

Pink plasma indicates hemolysis RBCs should be red, not purple or black No large clots visible No leakage

Question 8

things to do before transfusion

Answer 8

Verify identification with another licensed staff
Use two patient identifiers
Compare patient name and ID number to the blood bank form
Compare unit identification of blood to the blood bank form
Compare patient’s blood type to blood type on blood product
Document on appropriate form

Question 9

blood transfusion steps

Answer 9

Use blood administration set tubing 
Spike and prime tubing with NS 
 Spike the blood 
Obtain and record vitals (baseline) Connect administration set to IV catheter 
Start infusion at slow rate 
 Stay with patient for 15 minutes 
Obtain vitals per agency policy

Question 10

Blood and blood products must infuse within _ hours

Answer 10

4

Question 11

After infusion of blood has infused,

Answer 11

open clamp to the NS to flush tubing

Question 12

Discard empty blood container in

Answer 12

biohazard

Question 13

watch for

Answer 13

back pain, Chills, SOB

Question 14

Signs and Symptoms of Reactions

Answer 14

Allergic, Bacterial, Febrile, Hemolytic, Circulatory overload

Question 15

Allergic

Answer 15

Flushing, itching, wheezing, hives, anaphylaxis

Question 16

bacterial

Answer 16

fever, chills, vomiting, diarrhea, hypertension

Question 17

febrile

Answer 17

fever, chills warm, flushed skin, aches

Question 18

hemolytic

Answer 18

fever, chills, dyspnea, chest pain, tachycardia, hypotension; can be fatal

Question 19

Circulatory overload

Answer 19

Persistent cough, crackles, hypertension, distended neck veins

Question 20

if reaction
\_\_\_\_ transfusion IMMEDIATELY 
 Do \_\_flush tubing Obtain \_\_\_\_and \_\_\_\_\_
Hang \_\_\_infusion of NS 
Notify \_\_\_\_\_\_
Send \_\_\_\_ product back to blood bank  Obtain \_\_\_\_and \_\_\_\_specimens Continue monitoring \_\_\_\_\_signs

Answer 20

Stop transfusion IMMEDIATELY
Do NOT flush tubing Obtain vitals and assessment
Hang new infusion of NS
Notify provider
Send blood product back to blood bank Obtain blood and urine specimens Continue monitoring vital signs

Question 21

document

Answer 21

Date and Time
Reason for transfusion
Vital signs
Amount of blood transfused on I&O record
Any complications and interventions taken