Blood Transfusions Flashcards

1
Q

Equipment required for blood transfusion

A
  • Blood product
  • Administration set/infusion device/pump
  • Compatible fluids
  • Order form/chart
  • Labels
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2
Q

Rationale for red cell products

A
  • treat haemorrhage + improve oxygen*
  • blood loss >30%
  • anaemia
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3
Q

Rationale for platelet products

A
  • helps w/ clotting to prevent haemorrhage
  • trauma
  • surgery
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4
Q

Rationale for FFP (fresh frozen plasma) products

A

protein

- burns, infection, liver failure

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5
Q

Rationale for cryoprecipitate products

A
  • hypofibrinogenemia*

- massive haemorrhage

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6
Q

Nursing responsibilities

A
  • Informed consent
  • Check legal order
  • Check integrity of blood products (clot, discolouration, damage, room temp)
  • Site of IV access
  • Aseptic technique
  • Initial set of observations
  • Ongoing monitoring for transfusion reactions
  • Documentation
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7
Q

Possible transfusion reactions

A
  • Rash, urticaria, flush
  • Fever, chills
  • Nausea, vomiting
  • Tachycardia, hypotension
  • Dyspnoea, wheezing
  • Chest pain
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8
Q

What to do if transfusion reaction

A
  1. Stop transfusion immediately
  2. Escalate
  3. Vital signs
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