Blood Transfusion Flashcards Preview

Med Surg > Blood Transfusion > Flashcards

Flashcards in Blood Transfusion Deck (21)
Loading flashcards...
1
Q

What are some considerations for infusing whole blood

A

prime tubing with NS before hanging blood
Admin blood within 4 hrs of removal
Infuse the first 25 ml slowly over 15 min watching the patient for adverse effects
After that most patients can handle one unit over 1.5 hrs
monitor patient lung sounds for crackles
Separate line

2
Q

What is whole blood compatible with

A

NS .9
5% albumin
plasma protein fraction
compatible plasma

3
Q

what rate can health chronic anemia adults handle with whole blood

A

3-4 ml/kg/hr

4
Q

What does PRBC stand for

A

packed RBCS

5
Q

How much will hemoglobin and hematocrit increase with average 155 lbs pat after infused with PRBC’s

A

usually 1g for hemoglobin

2-3% for hemat

6
Q

Do patients with iron deficiencies get PRBCs

A

no they get iron supps

7
Q

What are considerations for admining PRBC’s

A

Prime the tubing with NS before hanging bag of blood
They last 4 hrs
separate line

8
Q

What are PRBC’s compatible with

A

same as whole bloood

9
Q

What are the two preparations of platelets

A

random-donor

single donor

10
Q

How much does a unit of platelets increase the platelet concentrationi

A

5000 platelets/mcl

11
Q

What type of patient shouldnt receive platelet infusions

A

Immune thrombocytopenic purpura
prophylactically after high concentrations of heparin
or after large volumes of citrate

12
Q

What are some considerations for admining platelets

A

4 hrs
use a filter
infants and small children must need ABO compatibility or reduced-volume ABO incompatible
platelets

13
Q

What does FFP stand for

A

Fresh frozen plasma

14
Q

What does FFP contain

A

all normal components of plasma including clotting factors and 200-400 mg of fibrinogen

15
Q

On average how much will FFP increase clotting facts

A

2-3%

16
Q

FFP shouldnt be admined as a volume expander or as a prophylactic measure in patients with

A

a recent massive blood transfusion

protracted pulmonary bypass

17
Q

What patients should be monitored closely with FFP and why

A

those receiving more than one unit because it is a isotonic volume epander

18
Q

What are signs of Acute hemolytic transfusion reactions

A
temperature increase of more than 2 F (1 C)
• bloody urine
• chills
• hypotension
• severe low back, flank, or chest pa
19
Q

What should you do if your patient is experiencing Acute hemolytic transfusion reactions

A

immediately stop transfusion
hang NS .9 with new tubing
call for assistance

20
Q

What are some considerations when administering FFP

A

use ASAP after thawed, never past 6 hrs
use filter
needs to be ABO compatible but RH doesnt matter

21
Q

What do all blood products need when administering

A

a filter