Transfusion/Blood Products

Question 1

Risks associated with transfusions

Answer 1

HIV
Hepatitis
allergic reaction

Question 2

Indication for Transfusion

Answer 2

hematocrit
presence/absence of bleeding
hemodynamically stable
pt risk for cardiac disease

Question 3

1 UNIT PRBC

Answer 3

Packed RBCs = 250cc RBC
4U = 1L

in stabel pt, 1 U is infused over 3-4hrs

Question 4

one unit PRBC will raise Hct/Hgb by what?

Answer 4

Hct 3%

Hgb 1g

Question 5

True or False: Cold Patients are at risk for coagulopathy

Answer 5

TRUE….warm the blood

Question 6

General Rule: elderly and those w/ inc risk for CAD should have XXXXminimum Hematocrit.

Answer 6

30%
so Hgb of 10
why? to ensure adequate oxygen carrying capacity

Question 7

1 Unit platelets

Answer 7

inc platelet count by 5,000-10,000

Question 8

Indications for Platelets

Answer 8

platelet count <20,000
bleeding from injury w/ platelets <50,000
bleeding secondary to impaired platelet dysfunction (ie pt on aspirin)

Question 9

FFP

Answer 9

used in treatment of bleeding w/ prolonged prothrombin time (those on coumadin or w/ Vit K clotting factor deficiencies)
**takes about 20 minutes to thaw

Question 10

immunocompromised pt should receive…

Answer 10

CMV negative blood

Question 11

Complications of Massive Transfusion

Answer 11

1. hypothermia

2. coagulopathy (often need to be giving FFP or vit K)