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TL Blood Products
HESI Blood products
| Question | Answer |
|---|---|
| What blood product is appropriate for acute blood loss where fluid overload is a concern? | PRBC |
| What blood product is used for autotransfusion, but not so much because filtering removes most of the WBCs? | Frozen RBCs |
| What is the time frame for using frozen RBCs? | Use within 1 hour of thawing |
| What blood product is used for bleeding due to thrombocytopenia? | Platelets |
| What blood product is used for bleeding caused by deficiency of clotting factors? | Fresh, Frozen Plasma |
| What bood product is used for hypovolemic shock and to replace deficiency caused by prolonged starvation? | Albumin |
| What blood product is used to treat hemophilia – replaces factor VIII and fibrinogen? | Cryoprecipitate |
| What are the signs and symptoms of acute hemolytic transfusion reaction? | Chills, fever, low back pain, flushing, tachycardia, hypotension progressing to acute renal failure, shock , and cardiac arrest |
| What are the nursing responsibilities associated with an acute hemolytic transfusion reaction? | Stop transfusion, change tubing, continue saline IV, treat for shock if present, draw blood sample for serologic testing, monitor hourly urine output, give diuretics as prescribed |
| What are the signs and symptoms of febrile nonhemolytic transfusion reaction? | Sudden chills, fever, headaches, flushing, anxiety and muscle pain |
| What are the nursing responsibilities febrile transfusion reaction? | give antipyretics as prescribed |
| What would we see if our client had a severe allergic reaction to blood transfusion? | anxiety, urticaria, wheezing, progressive cyanosis, shock and possible cardiac arrest |
| What would we see if the client had a mild allergic reaction? What would we administer for this? | flushing, itching, urticaria (hives) – give antihistamine |
| What are the signs of circulatory overload? | cough, dyspnea, pulmonary congestion, headache, hypertension |
| What does the nurse do if the client shows signs of circulatory overload during transfusion? | Place the client in an upright position with feet dependent, administer oxygen, diuretics, and morphine |
| What are the signs of sepsis? | Rapid onset of chills, high fever, vomiting, marked hypotension, or shock |
| What are the nursing responsibilities associated with sepsis? | ensure an patent airway, obtain blood for culture, adminster prescribed antibiotics, take VS q 15 minutes until stable |
| Discuss the rules regarding blood administration. | 19 gauge needle or central venous catheter, tubing designed for blood, only NS with blood products, stay with client for first 15 mins, administer as soon as brought from lab, monitor VS frequently, note any increase in temp, know/follow agency policy |
| What information does the nurse check with a second licensed person before administering blood? | correct product, as prescribed, correct blood type and Rh factor, matched with client and expiration date. |
Created by:
Perseverandovercome
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