Blood Transfusion

Question 1

Whole Blood

Answer 1

4 components

• RBC
• plasma
• platelet
• cryoprecipitate

Question 2

Packed RBC

Answer 2

Most common

mostly hgb

Question 3

Fresh Frozen Plasma

Answer 3

used to treat coagulation

Question 4

cryoprecipitate

Answer 4

use to treat fibrinogen deficiency and control bleeding in hemophilia

Question 5

platelets

Answer 5

use to restore platelet count.

Question 6

Albumin

Answer 6

Helps pull fluid from outside vascular system into vascular system…treats hypovolemic shock, hypoalbuminia

Question 7

Setup for blood transf.?

Answer 7

Y Tubing…

• Order blood
• consent
• go get blood and get tubing ready
• dual check with lic. caregiver
• infuse w/in 30 min or return to blood bank
• 4 HOURS, remain w/ pt for first 15 min.
• Infuse slowly…
• educate signs and sx

Question 8

Reaction manifestations

Answer 8

• fever w/ or w/o chills
• pain
• flushing
• itching/pruritis/uticaria
• dyspnea
• tachypnea/wheezing/rales/ bronchospasm

Question 9

Reaction Interventions

Answer 9

• stop transfusion?
• maintain patient IV with NS
• notice HCP and blood blank
• recheck ID
• monitor VS and urine output
• treat sx per order
• send blood bag and tubing to blood bank
• collect blood and urine specimens per institution
• document