Blood & Blood Products

yp1981's version from 2015-10-02 21:38


Question Answer
Equipment needed for Blood TransfusionBlood & Blood products, Tubing with filter, 19 gauge needle for venous access
Equipment needed for Packed RBC0.9% NaCl, Standard blood filter, Mix cells every 20-40min (squeeze bag)
Purpose for RBCgiven to increase oxygen carrying capacity in the circulatory system by increasing the number of RBC
Equipment needed for for Platelets0.9% NaCl, Non-wettable filter, Give ASAP 4uints/hr
Purpose of administering Plateletsgiven to clients with bleeding disorders or platelets deficiency
Equipment needed for Plasma0.9% NaCl, Straight line set, Give ASAP due to coagulation factor become unstable, ability to cause circulatory overload
Purpose of administering PlasmaAlbumin, fresh frozen plasma is used as a volume expander
Equipment needed for AlbuminAdminister with set provided, 25% albumin s/b given at 1ml/min, ability to cause circulatory verload, Give ASAP if patient is in Shock
Equipment needed for ProthrombinAdminister wtih straight line st, At risk for Hepatitis, ability to cause allergic & febrile reactions
Equipment needed for Factor VIIIUse component drip set or syringe, Give ASAP due to to coagulation factor become unstable, to coagulation factor become unstable


Question Answer
Nurse should check the blood for?bubbles, dark color or cloudiness
Nurse should ask the client about?Allergies or previous blood reactions
What should be checked by two nurses?Physician's order, Patient's identity, Hospital ID bank name and number, Blood component tag name & number, Blood type & Rh
Considerations for blood administration for the elderlymonitor transfusion q15min throught entire transfusion, each infusion s/b done over 4hrs
If transfusion reaction is suspected what action should the nurse takestop infusion, restart normal saline, save blood container/tubing & return blood to bank, draw blood sample, monitor voiding for hematuria
Contraindications for Autologous TransfusionAcute Infection, Chronic Disease, Cardiovascular Disease, Hgb <11 & Hct <33
What's the time frame for a client giving blood for autologous transfusioncollection should be from 4-6weeks prior to surgery
What are the benefits of Autologous TransfusionPrevention of vial infection, Good rare blood types, used for client with a history of transfusion reactions
Hypersensitivity & Allergic Blood Reaction occurs because ofHypersensitivity to antibodies in donor's blood
Symptoms of Allergic/Hypersensitivity blood reactionMild-urinary itching, flushing, Anaphylaxis: reaction of Hypotension, dyspnea, decreased oxygen & flushing
Nursing Intervention for allergic/hypersensitive blood reactionpre-medicate with antihistamine, stop blood transfusion & restart NS, notify physician, supportive care of Benadryl, O2 & corticosteroids
Blood Incompatibility is the cause of anAcute Hemolytic Reaction
Symptoms of Acute Hemolytic reactionoccurs within minutes to 24hrs, N&V, Pain in lower back, hypotension & increased pulse rate, decreased urinary output & hematuria
Nurse intervention for Acute Hemolytic reactionstop infusion, supportive care: airway management, Benadryl 02 & Corticosteroids
A Febrile Reaction occurs because ofAntibodies to donor platelets or leukocytes
Symptoms of Febrile blood reactioncan occur within minutes to 24hrs, Nausea, fever, chills, headache, flushing, Tachycardia, palpitations
Nurse Interventions for Febrile reactionsstop infusion, provide supportive care: Aspirin (unless its contraindicated)
Nurse Intervention for Circulatory Overload reactionslow or discontinue transfusion, monitor high risk patients like elderly, heart disease & children