Ch 27 blood products Flashcards
What exactly does blood products include
Packed RBC Platelets Plasma White blood cells Albumin
What are blood products
They are used to increase intravascular volume, replace clotting factors, and components of blood, replace blood loss, and improve oxygen carrying capacity.
What does the blood product WBC do
It increases circulating blood volume
It is replacement therapy for acute blood loss secondary to traumatic injuries or surgical procedures
It is volume expansion in clients who have extensive burn injury, dehydration, and shock
What does the blood product PACKED RBCS do
It increases the number of RBCS
It is for severe symptomatic anemia HBG 6-10
It is for hemoglobinopathies
M
It is for medication induced hemolytic anemia
It is for erythroblastosis fetalis
What is the blood product platelet concentration use for
It increases platelet count
It is indicated for thrombocytopenia ( platelet counts less than 20,000)
Aplastic anemia
Chemotherapy induced bone marrow suppression
It is indicated for active bleeding ( platelet count less,than 50,000)
What is fresh frozen plasma
It replaces coagulation factors
It is indicated for active bleeding or massive HEMMORRHAGE
Extensive burns, shock, disseminated intravascular coagulation DIC
Antithrombin 3 deficiency
Reversal of anti coagulation effects of warfarin
What pheresed granulocytes
Replaces neutrophils/ granulocytes
It is indicated for severe neutropenia ( ANC less,than 500)
Life threatening bacterial/ fungal infection not responding to antibiotic therapy
Neonatal sepsis
Neutrophil dysfunction
What is the blood product albumin indicated for
It expands circulating blood volume by excreting oncotic pressure
It is used for hypovolemia Hypoalbuminemia Burns Adult respiratory distress Cardiopulmonary bypass surgery Hemolytic disease of the newborn
What type of reaction are you at risk for when administered the blood product albumin
Risk for fluid volume excess such as pulmonary edema
For a client at risk for fluid overload or older adults, what is a nursing administration in regards to blood products
Transfuse a unit of PRBC over 2-4 hr, avoiding any concurrent infusion infusing. Monitor vitals q15 min. If possible wait 2 hr between units of blood when multiple units have been prescribed
Place client upright with feet down
Administer diuretic and oxygen as appropriate
Monitor I &O
Prior to any transmission, assess kidney, respiratory, and cardiovascular function for risk of overload
When administering blood products if sepsis occurs what should you do
Notify provider
Obtain Blood culture send transfusion bag for analysis for possible contaminants and treat sepsis with antibiotics, IV fluids, vasopressors, and steroids
What guage catheter should you use when administering blood products
Ensure that a 20 guage or,larger is used to avoid hemolysis of blood cells.
What is the only fluid that can be used when using blood products
0.9% sodium chloride
Prime IV and tubing with this solution.
Use a blood filter for most blood products and either a Y type or straight tubing set.
How long should whole blood, red blood cells be administered
About 250ml/ unit; infuse within 2-4 hr
Platelet concentration
About 300 ml / unit ; infuse PRBC within 15-30 min/unit
