More bood administration

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Author:
mandalana
ID:
91042
Filename:
More bood administration
Updated:
2011-06-17 16:14:18
Tags:
Blood
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Description:
S. Blood administration
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  1. What is ABO?
    • A type of antigen system
    • The ABO type of blood of the donar should be compatible with the recipients
    • Ex. type A can match with type A
  2. What is an autologous donation?
    Donation from to client own blood before scheduled procedere
  3. Compatibility?
    Matching of blood from two persons by two different types of antigen systems, ABO and Rh, present on the membrane surface of the red blood cells, to prevent transfustion reaction
  4. Designated Donor
    A compatible donor who has been selected by the recipient
  5. Fresh Frozen plasma
    A blood product admistered to increase the level of clotting factors in clients with such a deficiency
  6. Iron overload
    A delayed transfusion complication that occurs in clients who are choronicall y dependent on blood transfusions, such as clients with anemia or thrombocytopenia
  7. Cross matching
    The testing of the donor's blood and the recipients blood for compatibility
  8. Platelets
    A blood product administered to clients with low platelet counts and the thrombocytopenic clients who are bleeding actively or are schedured for an invasive procedure
  9. Red blood cells
    A blood product used to replace erthrocytes lost as result of trauma or surgical interventions or in clients with bone marrow supression
  10. Rh Factor
    Rh stands for Rhesus factor. A person having the factor is Rh positive/ a person lacking the factor is Rh negative. The presence or absence of Rh antigens on the surface of RBC's determines the classification as rh positive or Rh negative.
  11. Whole blood
    composed of RBC's, plasma, and plasma protiens and administered primarily to treat hypovolemia shock resulting in hemorrhage
  12. RBC's are used to replace
    erythrocytes
  13. Platelets are used to treat
    thrombocytopenia and platelet dysfunctions
  14. Platelets are administered?
    Imediately usually withing 15 to 30 min
  15. Fresh Frozen Plasma may be used
    to provide clotting factors, and are infused within 2 hours of thawing,while clotting factors are still viable
  16. What solustions for adminstering blood can be used
    only NaCl
  17. Can medications be added with blood transfusion?
    Never, nor can be piggypacked,
  18. To avoid septicemia
    1 unit should infusion should not exceed 4 hours
  19. Administration set should be changed?
    every 4 to 6 hours, with each unit of blood or according to policy for risk of septicemia
  20. Blood should be administered within
    20-30 minutes of recieving it from blood bank
  21. Symptoms of Septicemia
    • Rapid onset of fever and chills
    • vomitting, diarrhea
    • Hypotension
    • shock
  22. Symptoms of iron overload
    • vomitting, diarrhea
    • Hypotension
    • altered hematological values
  23. Hypocalcemia with transfusion
    • 1. Citrate in tranfused blood binds with calcium and is excreted
    • 2. Assess serum calcium
    • 3. Monitor for signs of hypocalcemia
    • 4. Slow tranfusion and call physician, with signs
  24. Hyperkalemia
    • 1. Stored blood liberates potassium through hemolysis
    • 2. the older the blood, the greater the risk of hypercalcemia, therefore clients at risk renal insuff or failure, should recieve fresh blood
    • 3. assess date of the blood and serum potassium level before and after tranfusion
    • 5. slow and notify doc if you have signs

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