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5 Written questions

5 Matching questions

  1. *administering blood*
  2. FFP
  3. Universal doner
  4. Anaphalactic Rxn
  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 Type O
  3. c Fresh 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
  4. d -ABO incompatibility
    -life threatening
    -antibodies react with donor erythrocytes
    -s&s: low BP, high HR, back pain, hemouria
  5. e -rxn to proteins
    -caused by infusion on IgA proteins to recipient with anti IgA antibodies
    -s&s: anxiety, urticaria, wheezing, hives, flushing, resp symptoms

5 Multiple choice questions

  1. O, A, B, AB
  2. Renal failure, blood cancer, chemotherapy or a hgb <6
  3. 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)
  4. Used for hemophilia, clotting disorders, liver failure
  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. *obtaining blood to transfuse*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)

          

  2. *when transfusion begins*1. Obtain baseline vitals
    2. Start transfusion slowly
    3. Stay with patient for 15 mins (in case of rxn)

          

  3. Whole blood components:RBC, WBC, platelets, plasma

          

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

          

  5. ______ does not need to be cross matched prior to a transfusionRenal failure, blood cancer, chemotherapy or a hgb <6

          

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