Week 1 Flashcards
What blood test must be done before a transfusion?
Type and cross match
What does a type and cross match indicate?
Whether a clients blood and donor blood are compatible
What should the nurse measure before starting a blood transfusion?
Vital signs
With what solution should blood be transfused?
0.9 % normal saline
How many nurses are required to check blood before blood transfusion?
2 nurses
What happens when blood is transfused with Dextrose IV?
The cells clump together and don’t flow well
If a transfusion reaction occurs what should the nurse do first?
Stop the blood transfusion and start running saline
How long can a unit of blood be on the unit before it must be started?
Less then 1/2 hour
What should a nurse do with the IV line if a transfusion reaction is suspected?
Keep it open with saline
If a transfusion reaction is suspected, what samples are collected and sent to the lab?
Urine and blood
If a unit of blood is infused through a central line it must be:
Warmed
Which of the following are signs of transfusion reaction?
a. bradycardia
b. fever
c. hives
d. wheezing
e. increased blood pressure
f. low back pain
b fever
c. hives
d. wheezing
f. low back pain
What are three types of transfusion reactions that can occur?
hemolytic, febrile, allergic
What are the signs and symptoms of hemolytic transfusion reaction?
shivering, HA, low back pan, increased pulse, increased respiratory rate, decreased blood pressure, olguria, hematuria
What are signs and symptoms of febrile transfusion reaction?
low back pain, shaking HA, increasing temp, confusion, hemoptysis
What are the signs and symptoms of a allergic reaction to a transfusion?
Hives, uticaria, wheezing, pruritus, joint pain
What are three reasons for blood transfusion?
restore blood volume secondary to hemorrhage
maintain hemoglobin in anemia
replace specific blood components
What does blood-typing mean?
check for surface antigen on the red blood cells
When does blood typing and cross matching need to be done?
Whenever a client is to a get a blood product. it is only good for 24 hrs
What does blood cross matching mean?
Mixing a little of a clients blood with the donor blood looking for agglutination (clumping)
When are hemolytic transfusion reactions likely to occur?
In the first 10 to 15 minutes
The most radical prostate surgery is the ___________ prostatectomy?
Perineal
What kind of diet is used in BPH?
Acid Ash
What is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP?
To keep the catheter clear of clots and to drain urine
What solution is used for a CBI?
Normal saline (NaC 0.9)
How fast do you run a CBI?
At whatever rate it takes to keep the urine flowing and free of clots
What drug is used to treat bladder spasms?
B&O suppositories (belladonna and opium)
Name the fix/six essential nutrients?
carbs, fats, proteins, vitamins, minerals, water
the major source of energy for the body is
carbs
Sucrose is a sugar found in __________ and __________
fruits and vegetables
