Fluids, Fluid Managements, Blood Products

Question 1

What is important to check!

Answer 1

Medicolegally
Risk of transfusion reactions
Risk of infection
Must be checked at several levels

Question 2

Arrival of blood products

Answer 2

Arrive in cold storage containers with plastic tags
Issued with a form detailing the products—DO NOT ACCEPT PRODUCTS WITHOUT THIS FORM
The form details
Patient’s NAME
Patient’s HOSPITAL NUMBER
TYPE OF BLOOD PRODUCT and BLOOD GROUP (if relevant)
UNIQUE SERIAL NUMBER OF BLOOD PRODUCT
EXPIRY DATE AND TIME
The same information is displayed ON the product

Question 3

CHECKING

Answer 3

Check both the products and the form separately against the patient’s name and folder number of the patient’s OWN folder
If ANY DISCREPANCY – DO NOT USE PRODUCT –RETURN TO BLOOD BANK

Question 4

What products must be checked?

Answer 4

ANY blood product from blood bank
Packed red cells
Fresh frozen plasma
Whole blood
Cryoprecipitate
Platelets
Whether issued as emergency or not

Question 5

What is Blood

Answer 5

45%= RBCs; <1%= WBC; 1%=Platelets; 55%=plasma

Question 6

Targeted Fluid Management

Answer 6

What is the problem?
What is the goal?
Which fluid/blood product is most appropriate?
How much volume do we need to give?
What speed do we need to give it at?
How are we going to measure to see if our goal is met?