Administration of Blood- Kaplan

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Author:
Sarahndipity81
ID:
220260
Filename:
Administration of Blood- Kaplan
Updated:
2013-05-19 14:19:54
Tags:
Blood
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Description:
Blood
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  1. Packed Red Blood Cells used for:
    2
    • Pts having surgery
    • Pts who are anemic
  2. Platelets are used for:
    Pts with leukemia
  3. Plasma (FFP) is used for:
    • To correct coagulopathy
    • For Pt with burns
  4. Albumin is used for:
    Volume expansion
  5. Prothrombin is used for:
    Increasing clotting time in Pt experiencing decreased clotting time
  6. Factor VIII is used for:
    Pts with hemophilia
  7. Universal donor?
    O
  8. Universal recipients?
    AB
  9. What fluid is used when running blood?
    NS only
  10. What is blood run at when first infusing?
    5 mL/min for first 15 min
  11. How long do you stay with Pt when first infusing blood?
    15-30 min
  12. How often are VS done when running blood?
    • q15min for first hour
    • q1hr for remaining time
  13. Types of transfusion reactions
    6
    *****
    Allergic reaction-hypersensitivity
  14. Allergic reaction commonly occurs with?
    Red cells/whole blood
  15. When does an allergic/hypersensitivity reaction commonly occur in blood transfusion?
    Immediately or within 24 hours
  16. What are the symptoms of a mild allergic reaction?
    • Uticaria/Hives
    • Itching
    • Flushing
  17. What meds might be used for a mild allergic reaction?
    3
    • Benadryl
    • Antihisamine
    • Aspirin
  18. What are the symptoms of a severe allergic reaction? (Anaphylaxis)
    4
    • Hypotension
    • Dyspnea
    • Decreased O2 Sat
    • Flushing
  19. What meds might be used in a severe allergic reaction?
    3
    • Benadryl
    • Steroids
    • Epinephrine
  20. What causes a hemolytic reaction?
    2
    • Mismatch from lab
    • Client may have rare unknown blood component
  21. When does a hemolytic reaction occur?
    Immediately up to 24 hours later
  22. What are the symptoms of a hemolytic reaction?
    5
    • (Systemic reactions)
    • Nausea/Vomiting
    • Low back pain
    • Hypotension
    • Hematuria
    • Decreased urinary output
  23. Interventions for hemolytic reaction?
    3
    • O2
    • Patent airway
    • Antihistamine
  24. What causes a febrile reaction?
    • Antibodies, commonly found in a platelet transfusion and in factor VIII transfusion
    • Most common reaction seen
  25. When does a febrile reaction occur?
    Minutes to hours from start of transfusion
  26. What are the symptoms of a febrile reaction?
    4
    • Fever
    • Chills
    • Nausea
    • Headache
  27. Intervention for febrile reaction?
    Aspirin
  28. What causes a bacterial reaction?
    Contaminated blood
  29. When does a bacterial reaction occur?
    Minutes to >24 hours of infusion
  30. What are the symptoms of a bacterial reaction?
    5
    • Tachycardia
    • Hypotension
    • Fever
    • Chills
    • Shock
  31. What are the interventions for a bacterial reaction
    2
    • Volume expanders
    • Antibiotics
  32. What causes a viral reaction?
    • Hepatitis
    • AIDS
  33. What are the symptoms of fluid volume overload?
    4
    • Dyspnea
    • Crackles
    • Increased respiratory rate
    • Tachycardia
  34. When is an autologous blood transfusion collected?
    4-6 weeks prior to need

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