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MedSurge 3 > Blood Transfusions > Flashcards

Blood Transfusions Flashcards

1
Q

Anticoagulants

A

interfere with blood clotting and growth of new clots

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2
Q

Fibrinolytics

A

selectively degrade threads in an existing blood clot

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3
Q

Platelet inhibitor

A

prevents platelets from clumping together

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4
Q

The higher the INR…

A

the thinner blood is

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5
Q

Range for INR

A

0.7-1.8

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6
Q

Warfarin therapy INR range

A

2.0-3.0

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7
Q

Autologous

A

Self donated blood

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8
Q

Allogenic

A

blood from the same species

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9
Q

Donor directed

A

blood donation from a specific person

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10
Q

Function of albumin

A

regulate osmotic fluid

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11
Q

Febrile blood transfusion reaction s/s

A

chills
fever
headache
tachycardia
anxiety
flushing

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12
Q

Hemolytic blood transfusion reaction s/s

A

low back pain
hypotension
tachycardia
chest pain
tachypnea
hypotension

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13
Q

Allergic blood transfusion reaction s/s

A

Mild: hives, pruritus, facial flushing
Severe: SOB, bronchospasms

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14
Q

Nursing interventions if a pt has a blood transfusion reaction

A

STOP THE TRANSFUSION
change IV tubing
treat symptoms
recheck crossmatch record with unit

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15
Q

Nursing interventions for hemolytic reaction

Besides stopping the infusion

A

obtain 2 blood samples distal to infusion site
obtain UA for hemoglobinuria
monitor fluid/electrolytes
evaluate calcium levels

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16
Q

what is a hemolytic reaction?

A

blood cells rupture or lysis; caused by blood type or rh incompatibility

17
Q

Platelet infusion: things to remember

A

infuse 15-30 min
Y tubing is required
ABO compatible only
1 unit raise platelets 5 to 10,00

18
Q

Fresh Frozen Plasma Cryoprecipitate: things to remember

A

Used for clotting disorders
ABO compatible only
Frozen for up to a year
infuse over 30-60 min
Y tubing!

19
Q

What to do after discontinuing an infusion? In order

A

Take VS and complete transfusion sheet
discard bag and tubing in biohazard
get a new infusion set if a second unit is ordered
Document

MedSurge 3 (28 decks)

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