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5 Written questions

5 Matching questions

  1. Universal doner
  2. Circulatory overload rxn
  3. Allergic rxn
  4. *administering blood*
  5. Acute hemolytic rxn
  1. a 1. Obtain order
    2. Explain procedure
    3. Verify consent w/ another RN
    4. IV should be 18-20 gauge
    5. Use correct blood tubing
    6. Transfuse w/ normal saline
  2. b -1% of rxns
    -caused by foreign protein sensitivity
    -s&s: urticaria, flushing
    -tx: epinepherine, solumedrol, benadryl
  3. c Type O
  4. d -ABO incompatibility
    -life threatening
    -antibodies react with donor erythrocytes
    -s&s: low BP, high HR, back pain, hemouria
  5. e -volume overload
    -impaired cardiac fxn
    -s&s: VS changes, high BP, HR, RR. Cugh, gallop, nevk vein distention

5 Multiple choice questions

  1. 1. Obtain baseline vitals
    2. Start transfusion slowly
    3. Stay with patient for 15 mins (in case of rxn)
  2. 1. DC transfusion
    2. Keep IV line oopen w/ diff NS bag and tubing
    3. Notify healthcare provider
    4. Notify blood bank
    5. Recheck blood unit ID and Patients ID
    6. Return blood unit and tubing to blood bank (with documentation)
    7. Document
    8. Treat patient per healthcare provider
    9. Monitor for patient for shock
    10. Obtain blood and urine tests per order
    11. Monitor coag studies
    12. Monitor renal fxn (BUN, ctn)
  3. Normal blood protein
    -used for volume expander
    -5% concentration most commonly used
  4. Patient is RH positive (can recieve + or - blood)
  5. Packed red blood cells (most commonly used)
    - 80% of plasma removed
    -30 days half life
    -given if low h/h

5 True/False questions

  1. FFPFresh frozen plasma....yummy
    -Used for volume (patients in shock)
    -200-250 ml
    -given over 30-45 mins
    -coag factors
    -can be frozen for up to 1 year

          

  2. Sepsis rxn-90% of rxns
    -caused by antibodies to donor WBCs
    -s&s: fever, chills

          

  3. Anaphalactic Rxn-1% of rxns
    -caused by foreign protein sensitivity
    -s&s: urticaria, flushing
    -tx: epinepherine, solumedrol, benadryl

          

  4. ______ does not need to be cross matched prior to a transfusionPlasma

          

  5. Diseasses that would require transfusion1. Notify blood bank
    2. 2 nurses check name, dob, unit, med record #
    3. Admin within 30 mins