Transfusing Blood

Question 0

All blood products require a ……..

Answer 0

Filter

Question 1

Administer Blood and Blood products in conjunction with……..

Answer 1

Normal Saline

Question 2

You will need a set of ……………… Before administering the blood

Answer 2

Baseline Vital Signs

Question 3

Each client must have a ……………… Prior to obtaining a blood product

Answer 3

Type and screen & crossmatch

Question 4

A type and screen & crossmatch is good for only…….

Answer 4

72hours

Question 5

Name the 7 blood product verifications

Answer 5

Clients Name
Date of Birth 
Blood Bank Number 
Unit Number 
Expiration date of unit of blood or blood products 
Blood type and group
PCPs Order

Question 6

RN must verify with another ……. At the bedside

Answer 6

RN

Question 7

You will need a ………………….. From the patient

Answer 7

Signed consent form

Question 8

Being infusion ……… And observe client for next …… Minutes

Answer 8

Slowly; 15

Question 9

Infusion of blood must be started within …… Minutes of receiving the blood from the blood bank

Answer 9

30

Question 10

All blood from each unit must be completed within a …….. Time frame

Answer 10

4 hours

Question 11

Be sure to …….. ………. after transfusing blood or blood products with …… …….

Answer 11

Flush lines; 0.9%NS

Question 12

Name the 7 sign and symptoms of Transfusion Reaction:

Answer 12

1) Headache, Dizziness
2. ) Chest Pain, Dyspnea, or Wheezing
3. ) Tachycardia, Tachypnea, Back pain
4. ) Fever, Chills, Muscle pain with fever
5. ) Hypertension or Hypotension, Anxiety, Flushing
6. ) GI symptoms: nausea and vomiting
7. ) Hives or skin rash, urticaria, or itching

Question 13

List the 5 steps you would take if your patient was having an adverse reaction to a blood transfusion

Answer 13

1) Stay with the patient and discontinue the transfusion IMMEDIATELY
2) Remove blood and blood tubing according to your agencies policy
3) Start Normal Saline with new primed tubing at keep vein open rate
4) Document Vital Signs and notify PHCP
5. ) Notify Blood bank of transfusion reaction and monitor client for anaphylaxis