Quiz 2 - Blood/Central Lines

Question 1

universal donor blood type

Answer 1

O neg

Question 2

universal recipient blood type

Answer 2

AB pos

Question 3

when would you give whole blood

Answer 3

acute hemorrhage

Question 4

PRBC raise Hgb by ___ and Hct by ____

Answer 4

Hgb by 1 and Hct by 2-3%

Question 5

autologous RBC is when

Answer 5

client donates blood for autologous transfusion 4-5 weeks prior to surgery

Question 6

each unit of platelets inc the platelet count by

Answer 6

about 5,000

Question 7

FFP inc ____ by 2-3%

Answer 7

clotting factors

Question 8

FFP takes ___ to thaw and cant be returned

Answer 8

25 min

Question 9

cryoprecipitate contains

Answer 9

fibrinogen

Question 10

plateletpheresis packs contain

Answer 10

10 bags of platelets in one bag

Question 11

what three lab values should you know when ordering blood

Answer 11

Hct, Hgb, platelet count

Question 12

you should only order one unit of blood at a time because

Answer 12

it can only be out 4 hours

Question 13

when infusing platelets they must be on a

Answer 13

filter

Question 14

you should only call for blood once you have done what to the pt..

Answer 14

have the NS connected and running

Question 15

always complete a blood transfusion with

Answer 15

NS

Question 16

change blood tubing after how many units?

Answer 16

2

Question 17

what is the most common transfusion rxn

Answer 17

febrile

Question 18

when a transfusion rxn occurs what steps should you take

Answer 18

1. STOP the blood
2. run NS
3. notify prescriber
4. send blood bag, tubing, a venous sample, and urine sample to the lab for testing
5. treat the sx

Question 19

a hemolytic rxn occurs due to

Answer 19

incompatibility

Question 20

a bacterial sepsis rxn occurs due to

Answer 20

contamination

Question 21

a febrile rxn occurs due to

Answer 21

sensitivity to WBC, platelets, plasma protein

Question 22

most common transfusion rxn sx

Answer 22

fever and chills

Question 23

what do TPN and PPN stand for

Answer 23

total parenteral nutrition and peripheral parenteral nutrition

Question 24

TPN is also known as _____

Answer 24

hyperalimentation (hypertonic sln)

Question 25

with TPN you can get up to ___% dextrose

Answer 25

50%

Question 26

with PPN you can get up to ___% dextrose

Answer 26

20%

Question 27

all TPN must be run through a ____

Answer 27

.20-.22 micron filter

Question 28

you don’t ___ lipids

Answer 28

filter

Question 29

list two tunneled catheters

Answer 29

hickman and groshong

Question 30

tunneled catheters are for __ use

Answer 30

long term

Question 31

list some reasons to use central lines

Answer 31

give fluid/meds, nourishment, gut needs a rest, client unable to take PO meds, electrolyte imbalance, long term meds/feeding

Question 32

how often should you change central line dressings

Answer 32

24 hrs after placement then every 7 days

Question 33

one of the most serious complications of a central venous catheter

Answer 33

air embolism