Hematology CCRN

Question 1

want to keep Hgb:

Answer 1

greater than 7

give blood if not

Question 2

Hypothermia with blood administration

Answer 2

use blood warmer

Question 3

Coagulopathy with blood administration

Coagulopahty (d) any disruption of hemostasis could be clotting or bleed

Answer 3

Give FFP & Plts along with PRBC’s

Question 4

Blood product administration has the risk of ____ & ____
d/t:_______

Answer 4

hypocalcemia & hypomagnesemia
d/t: binding with citrate

Question 5

Blood administration is associated with decreased O2 available to the tissues d/t:

Answer 5

inadequate 2,3-DPG in blood from the bankl

Question 6

Blood administraion has the risk of (2)

Answer 6

hemolytic and non hemolytic reactions

hemolytic reaction (d) transfused red blood cells are destroyed by the

Question 7

MTP protocol

Answer 7

1. stop the bleed
2. prevent the triad of death
   (acidosis, coagulopathy, hypothermia)
3. administer balanced transfusion of products
   1:1, PRBC > FFP > Plts

Question 8

DIC

clotting problem

Answer 8

• activation of cloting consumes all clotting factors
• always secondary to problems such as:
• trauma, OB emergency, dissceting aneurysm, massive transfusions d/t bleeding,
• epothelial damage d/t cardiac arrest, sepsis or AAA

S/S
* low: platlets, Hct, fibrinogen
* high: d-dimer, PT, PTT, INR
Test: