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5 Written questions

5 Matching questions

  1. *transfusion rxn procedure*
  2. *when transfusion begins*
  3. Whole blood components:
  4. *administering blood*
  5. Platelets
  1. a 1. Obtain baseline vitals
    2. Start transfusion slowly
    3. Stay with patient for 15 mins (in case of rxn)
  2. b RBC, WBC, platelets, plasma
  3. c 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. d Sticky, for clotting
    -should be cross typed
    -35-50 ml typical unit
    -given over 15-30 mins
  5. e 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

5 Multiple choice questions

  1. Normal blood protein
    -used for volume expander
    -5% concentration most commonly used
  2. Type AB
  3. Plasma
  4. Renal failure, blood cancer, chemotherapy or a hgb <6
  5. -1% of rxns
    -caused by foreign protein sensitivity
    -s&s: urticaria, flushing
    -tx: epinepherine, solumedrol, benadryl

5 True/False questions

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

          

  2. Circulatory overload rxn-volume overload
    -impaired cardiac fxn
    -s&s: VS changes, high BP, HR, RR. Cugh, gallop, nevk vein distention

          

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

          

  4. Acute hemolytic rxn-ABO incompatibility
    -life threatening
    -antibodies react with donor erythrocytes
    -s&s: low BP, high HR, back pain, hemouria

          

  5. CryoprecipitatePacked red blood cells (most commonly used)
    - 80% of plasma removed
    -30 days half life
    -given if low h/h