Quiz 2 - Blood/Central Lines Flashcards
universal donor blood type
O neg
universal recipient blood type
AB pos
when would you give whole blood
acute hemorrhage
PRBC raise Hgb by ___ and Hct by ____
Hgb by 1 and Hct by 2-3%
autologous RBC is when
client donates blood for autologous transfusion 4-5 weeks prior to surgery
each unit of platelets inc the platelet count by
about 5,000
FFP inc ____ by 2-3%
clotting factors
FFP takes ___ to thaw and cant be returned
25 min
cryoprecipitate contains
fibrinogen
plateletpheresis packs contain
10 bags of platelets in one bag
what three lab values should you know when ordering blood
Hct, Hgb, platelet count
you should only order one unit of blood at a time because
it can only be out 4 hours
when infusing platelets they must be on a
filter
you should only call for blood once you have done what to the pt..
have the NS connected and running
always complete a blood transfusion with
NS
change blood tubing after how many units?
2
what is the most common transfusion rxn
febrile
when a transfusion rxn occurs what steps should you take
- STOP the blood
- run NS
- notify prescriber
- send blood bag, tubing, a venous sample, and urine sample to the lab for testing
- treat the sx
a hemolytic rxn occurs due to
incompatibility
a bacterial sepsis rxn occurs due to
contamination
a febrile rxn occurs due to
sensitivity to WBC, platelets, plasma protein
most common transfusion rxn sx
fever and chills
what do TPN and PPN stand for
total parenteral nutrition and peripheral parenteral nutrition
TPN is also known as _____
hyperalimentation (hypertonic sln)
with TPN you can get up to ___% dextrose
50%
with PPN you can get up to ___% dextrose
20%
all TPN must be run through a ____
.20-.22 micron filter
you don’t ___ lipids
filter
list two tunneled catheters
hickman and groshong
tunneled catheters are for __ use
long term
list some reasons to use central lines
give fluid/meds, nourishment, gut needs a rest, client unable to take PO meds, electrolyte imbalance, long term meds/feeding
how often should you change central line dressings
24 hrs after placement then every 7 days
one of the most serious complications of a central venous catheter
air embolism
