Blood Transfusions

  1. during blood transfusions what gauges of needles can be used?
    • 16
    • 18
    • 19
    • 23
  2. what IV solutions can not be used during blood transfusions and why
    • dextrose
    • LR
    • -cause RBC hemolysis
  3. the tubing can be cleared with what IV solution
  4. who is resposible for typing and crossmatching the donors blood with the recipients blood
    the blood bank
  5. if the blood is not used within ____ min it must be ______
    • 30
    • returned to the blood bank
  6. the nurse should remain with the pt how long during a blood transfusion
    15 min or 50 ml
  7. the begining rate of transfusion should be no more then
  8. using packed RBCs means these is less of a chance of this problem?
    fluid overload
  9. what are the indications for use when it comes to packed RBCs?
    • severe/symptomatic anemia
    • acute blood loss
  10. platelets would be indicated in the use for disease?
  11. this blood products is rich is clotting factor but contains no platelets
    fresh frozen plasma
  12. fresh frozen plasma would be indicated in the use of what disease?
    • hemorrhage
    • massive transfusion
    • liver disease
    • excess warfarin
    • deficiency in clotting
  13. this blood product helps by moving water from extravascular to intravascular space
  14. this blood product is used to treat hypovolemic shock
  15. incompatible whole blood or RBCs
    -recipients antibodies in plasma attaches to antigens on transfused RBCs causing RBC destruction
    acute hemolytic reaction
  16. clinical manifestations of acute hemolytic reaction are...
    • chills
    • fever
    • low back pain
    • tachycardia
    • dyspnea
  17. what two drugs can you give to help an acute hemolytic reaction?
    • tylenol
    • benadryl
  18. this is the most common transfusion reaction and it is caused by a sensitization to donor WBCs, platelets or plasma proteins
  19. this transfusion reaction is caused by a sensitivity to foreign plasma proteins
    mild allergic
  20. the s/s of this blood transfusion reaction are flushing, hives, and itching
    mild allergic
  21. what is the Tx of a mild allergic reactiong to blood transfusions
    • antihistimines
    • corticosteroids
  22. this reaction is caused by a sensitivity to conor plasma proteins and causes anxiety, hives, dyspnea, wheezing cyanosis and shock
  23. in the case of an anaphylactic reaction this medication should be given immediatley
  24. this reaction is caused by fluid administration faster then the circulation can accommodate
    circulatory overload
  25. the s/s of this reaction is cough, dyspnea, pulm. congestion, HTN, tachycardia and distended neck veins
    circulatory overload
  26. with this reaction diuretics and O2 will be used
    circulatory overload
  27. this reaction is caused by a transfusion of bacterialy infected blood components
  28. the s/s of this reaction is chills, ^ fever, vomitting, diarrhea, and is Tx w/antibiotics and IV fluids
  29. this is a reaction btwn transfused antileukocyte antibodies and recipients leukocytes causing pulm. inflamm. and capillary leak
    transfusion related acute lung injury
  30. this reactions has the s/s of frothy sputum, fever, hypotension, tachypnea, and dyspnea
    transfusion related acute lung injury
  31. consists of removing whole blood from a person and transfusing the blood back into the same person
    autotransfusion or autologus
  32. collection of blood from pt thru a collection device and then reinfused to the pt
  33. this helps with hemophilia and von Willebrand disease
  34. when are vital signs taken during a blood tranfusion?
    • before transfusion
    • after 1st 25 min
    • after 1 hr
    • at completion
  35. how long should the nurse remain with the pt during a blood transfusion
    15 min
  36. what are the required Hbg level for blood donation?
    • F-12.5
    • M-13.5
Card Set
Blood Transfusions
Blood Transfusions