EKG/Math Exam Flashcards

1
Q

when do we normally transfuse blood?

A

with Hgb. < 7

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2
Q

how many people must perform identity check when administering blood?

A

two individuals (preferably nurses)

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3
Q

where is the identity check to administer blood done?

A

at the patient’s bedside

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4
Q

for inpatients how do we identify them to give blood?

A

the hospital wristband

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5
Q

what is important to do before administering blood?

A

resolve all discrepancies before initiating transfusions

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6
Q

are students allowed to participate in the identification process or administration of blood?

A

no

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7
Q

when do we do identity checks for blood?

A

with every new bag administered

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8
Q

what size needles are optimal for administering blood?

A

18 or 20 gauge needle, but smaller needles can be used for smaller veins, just run blood slower

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9
Q

what fluid do we administer with blood?

A

0.9% NS

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10
Q

what kind of tubing do we use to administer blood?

A

standard blood Y administration set

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11
Q

what is important to know about changing infusion sets?

A
  • a single infusion set can be used to transfuse multiple units
  • replace filter tubing after 3-4 unites or after 4 hours
  • change filter tubing sooner if flow is impeded by filter debris
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12
Q

universal donor

A

O negative

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13
Q

universal recipient

A

AB positive

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14
Q

before going to the lab to administer blood, what should you do?

A
  • ensure IVs are working properly
  • verify that patient consent is signed
  • verify orders
  • PRE TRANSFUSION VITALS (if abnormal, contact MD)
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15
Q

if delays are encountered, how long do we have until the blood needs to be started?

A

30 minutes

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16
Q

once the blood is transfusing, how long should it be finished by?

A

within 4 hours

17
Q

how long do we have if there are delays to get the blood back to the lab?

A

ideally 20 minutes but if you need more time, you have 30 minutes to return it

18
Q

transfusion reactions

A
  • rashes
  • hives
  • itching
  • flushed
  • neck/back pain
  • fever
19
Q
A