Blood administration

  1. What blood type can be given to any pt w/o crossmatching?  Universal donor.
    Type O because it doesn't have A or B antigens.
  2. What blood type is the universal recipeint?
  3. A ____ elicits an immune response by combining with an antiody.
  4. ______ develop in response to an antigen.
  5. _______ occurs with antigen-antibody response causing clumping together of RBCs and rendering them ineffective or destroying the cells.  This can be deadly.
  6. Rh+ can recieve which antigen/s?
    Rh+ or Rh-
  7. Rh- can recieve which antigen/s?
    ONLY Rh- to avoid antibody formation
  8. At what platelet count will pts recieve platelets?
  9. What is the only blood product that has to be crossmatched?
  10. Hemophiliacs commonly recieve ______
  11. Fresh frozen plasma contains_____
    cloting factors, and plasma.  It is given to pts who need clotting factors and have a high INR
  12. _____ does not require conscent.  It Increases osmotic pressure in the vascular system.  Get it from pharmacy.
    • Albumin
    • without albumin fluids shift to the extracellular space
  13. ______ will not accept whole blood products but will
  14. Need to have at least a ___g IV catheter, ___g preferred for administering blood products. 
    20g prefer 18 guage
  15. Blood transfusion reactions
    • Acute hemolytic tranfusion reactions
    • frbrile reaction
    • allergic reaction -mild
    • allergic reaction - anaphylactic
    • circulatory overload
    • sepsis
  16. S&S of blood transfusion reactions
    • back pain
    • chest pain
    • chills
    • headache
    • heat at infusion site and or over vein
    • muscle aches/pains
    • Other S&S:  hypotension, HTN, shock, tachycardia, dyspnea, wheezing, abd cramping, DIC
    • rise in temp 1C or 2F
    • hives, itching, rash
  17. If transfusion reaction occurs, nursing interventions.
    • Stop transfusion immediately
    • connect new IV tubing and keep line open with 0.9% NS
    • notify physican
    • stay with pt
    • monitor vitals
    • administer anti-pyretics and antihistamine as directed
    • send blood bag with tubing to lab
  18. Why does the ball need to be floated in the IV chamber?
    So RBC's don't fall too far and lyse
  19. Before administering blood obtain ____.
    set of vital signs
  20. Stay with pt for first __ min of blood infusion obtaining vitals q__ min.
    Stay for first 15 min and vitals q5 min
  21. Acute hemolytic reaction
    • Caused by infusion of ABO incompatible whole blood RBCs, or components conaining 10mL or more of RBCs. 
    • Antibodies in recipeits plasma attach to antigens on transfused RBCs, causing RBC destruction
  22. Anaphylactic transfusion reaction
    • Cause:  Infusion of IgA proteins to IgA deficient recipient who has developed IgA antibody.
    • S&S:  anxiety, uticaria, wheezing, progressing to cyanosis, shock, possible cardia arrest
    • Management:  stop transfusion, CPR if indicated, epinephrine.
    • Prevention:  transfuse extensively washed RBC products or use blood from IgA deficient donor.
  23. Sepsis transfusion reaction
    • Cause:  transfusion of contaminated blood components
    • S&S:  rapid onset of chils, high fever, vomiting, diarrhea, marked hypoension and shock
    • Management:  obtain culture of client's blood, and send bag with remaining bloood to transfusion service for further study.  Treat septicemia as directed-abx, IV fluids, vasopressors, steroids
Card Set
Blood administration
Blood administration