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