N130 Blood admin.&IVPB 1st Exam OLOL
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| Types of blood products | show 🗑
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| Reasons for Blood Transfusions | show 🗑
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| show | After surgery, trauma, or hemorhage use whole blood and albumin to increase circulating blood volume.
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| What type of blood transfusion would one use to increase oxygen carring capacity for severe anemia? | show 🗑
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| What type of blood transfusion would one use to provide selected cellular components as replacement thearapy? | show 🗑
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| show | WBCs
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| show | 300-550 mls
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| show | 300-350 mls
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| show | 200-250 mls
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| What do Leukocyte-poor RBC's- prevent? | show 🗑
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| non-hemolytic | show 🗑
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| Autologous tansfusion | show 🗑
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| show | up to five weeks before the planned surgery.
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| show | Heart, orthopedic, plastic, gynecological
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| show | One to Five units depending on how the patient tolerates & acceptable hematocrit.
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| Why is Autologous transfusion good for the patient? | show 🗑
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| show | During perioperative blood salvage
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| What are some examples of periopertive blood salvage? | show 🗑
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| show | Mediastinal and chest-tube drainage, joint, & spinal surgery.
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| show | When the donor and recipient are different people.
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| show | Family/friends donate blood
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| show | The presence or absence of A and B red cell antigens.
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| show | Antigen found on the membrane of RBCs of most people.
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| show | 85%
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| show | When the factor is present
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| show | When the factor is absent
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| If a person is RH negative who can they recieve blood from? | show 🗑
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| show | The Blood will develop anti-RH antibodies and if the person recieves future RH positive blood , serious reactions with clumping and hemolysis of red blood cells will occur.
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| What is hemolysis? | show 🗑
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| Where is HLA (Human Leukocyte Antigen) found? | show 🗑
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| What is the HLA (Human Leukocyte Antigen) responsible for? | show 🗑
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| What is the universal donor? | show 🗑
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| Why is O negative the universal donor? | show 🗑
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| show | AB positive
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| What antibodies does AB positive not have? | show 🗑
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| show | The RH Factor
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| show | Screened carefully and blood is tested for HIV, Hepatitis B, Hepatitis C, and other viruses
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| What will a nurse assess for prior to blood administration when assesing the IV line? | show 🗑
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| show | Assess if patient knows reason for transfusion, Asses any reactions in the past.
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| What will the nurse instruct the patient to report during or after a blood transfusion? | show 🗑
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| Vital signs, Assessing skin for eruptions or rashes, assessing age and any cardiovascular history, and checking for signed transfusion consent form are all things the nurse must do when? | show 🗑
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| What is the first procedure the nurse performs for blood administration? | show 🗑
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| What solution does the nurse hang with blood administration set? | show 🗑
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| show | 18-19-20 gauge catheter
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| How should the nurse obtain the blood product from the blood bank? | show 🗑
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| What is the controled temperature that blood must be stored in a refrigerator at? | show 🗑
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| show | thirty minutes
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| Blood transfusions must be completed within what amount of time? | show 🗑
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| What are the identification and checks a nurse must complete before blood transfusions? | show 🗑
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| show | 100 degrees F or higher
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| When starting an infusion of blood product the first thing the nurse does is | show 🗑
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| show | 25-50ml 2 ml per minute or 20 gtts/min
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| show | For the first 15 minutes
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| show | q 15 minutes for the first half hour; then q half hour or hour according to agency policy.
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| show | flushing, dyspnea, itching, hives, or rash
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| show | Air hunger resulting in labored or difficult breathing, sometimes accompanied by pain.
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| show | After the first 15 minutes if there is no adverse effects.
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| How long does a blood transfusion take? | show 🗑
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| show | Assess for transfusion reaction and document.
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| For severe blood loss a patient may recieve transfusions through | show 🗑
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| A blood warming device is often used | show 🗑
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| Central Venous Catheter | show 🗑
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| show | cardiac dysrhythmias
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| Platelet transfusion should be transfused over | show 🗑
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| If a patient has a history of platelet transfusion reaction what should the nurse do? | show 🗑
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| show | febrile
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| When should a platelet count be checked when a patient is given platelet transfusion? | show 🗑
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| When Albumin is given how is the rate of insusion determined? | show 🗑
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| show | 5%-> 2-4 ml/min 25%->1ml/min
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| For Hypovolemia Albumin is transfused at 5% OR 25% as rapidly as needed as tolerated & repeated in | show 🗑
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| show | Albumin
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| show | Albumin
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| show | Albumin
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| What gauge needle should Albumin be given through? | show 🗑
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| show | Acute hemolytic, febrile, non-hemolytic, mild allergic, anaphylactic, circulatory overload, sepsis
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| What is the most common blood transfusion reaction? | show 🗑
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| show | ABO or RH incompatibility
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| Chills, fever, low back pain, flushing, tachycardia, tachypnea, hypotension, chest pain, facial flushing, shock, hrmoglobinuria, acute renal failure, death are signs and symptoms of what? | show 🗑
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| show | Immediate
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| How would a nurse prevent an acute hemolytic reaction? | show 🗑
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| show | sensitization to donor white blood cells, platelets, or plasma proteins.
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| show | sudden chills and fever ( rise greater than 1 degrees celcius) headache, flushing, anxiety, and muscle pain.
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| show | sensiivity to foreign plasma proteins. More common in an individual with a history of allergies.
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| What are the signs and symptoms of a patient that is having a mild allergic reaction after a blood transfusion? | show 🗑
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| show | Infusion of IgA-deficent recipient who has developed IgA Anibody.
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| show | Anxiety, urticaria, wheezing, progressing to cyanosis, shock, possible cardiac arrest.
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| What is the cause of Circulatory overload when a patient has had a blood transfusion? | show 🗑
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| show | Older adults, cardiopulmonary diseases, renal patients.
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| show | cough, dyspnea, pulmonary congestion (crackles), headache, hypertension, tachycardia, distended neck veins.
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| show | transfusion of contaminated blood components
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| What are the signs and symptoms of sepsis when a patient recieves a blood transfusion. | show 🗑
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| show | Immediately
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| show | 0.9% Normal Saline with another tubing to KVO
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| How often should vital signs be checked on a patient that had a reaction to a blood transfusion? | show 🗑
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| show | Urine Specimen
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| What should be done with left over blood after a patient has a reaction to a blood transfusion and the transfusion is stopped.? | show 🗑
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| What emergency medications should a nurse be prepared to give if necessary when a patient has a reaction to a blood transfusion? | show 🗑
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| show | Be prepared for CPR.
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| When a patient has a reaction to a blood transfusion, the nurse must ________ the reaction. | show 🗑
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| show | room temperature and old blood
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| What is a citrate reaction caused by during a blood transfusion? | show 🗑
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| What can a Citrate reaction during a blood transfusion do to the patient? | show 🗑
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| What can happen if a patient has a citrate reaction during a blood transfusion? | show 🗑
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| What is the drop factor for blood tubing? | show 🗑
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| Never inject medication into an IV line with_ _____ _____ _____. | show 🗑
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| What should be documented when a patient recieves a blood transfusion? | show 🗑
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| What are the purposes of IV Therapy? | show 🗑
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| show | Initiate, monitor, and Discontinue
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| What responsibilites does the nurse have during the initiation phase? | show 🗑
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| show | Maintain the system, Identify and correct problems, monitor the patient, and watch for complications.
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| show | Isotonic, Hypotonic, and Hypertonic
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| What are two characteristics of Colloids? | show 🗑
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| show | Crystalloids, Colloids, Total Parenteral Nutrition (TPN) and blood and blood products.
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| show | osmotically equal to plasma
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| show | draws about 4 times their volume in interstitil fluid into the circulation within 15 mins of admin.
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| show | 60 gtt/ml
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| show | 10-12-15-20 gtt/ml depends on manufactor
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| show | # of drops to equal 1 ml
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| KVO | show 🗑
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| What will happen if there is not adequate fluid going? | show 🗑
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| What is the minimal KVO rate? | show 🗑
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| show | 20 ml/hr
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| Before you spike a primary or piggyback what should you do first? | show 🗑
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| How often should you monitor IV? | show 🗑
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| show | Tegaderm.
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| show | impare circulation
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| show | height of the IV fluid container, IV tubin size, fluid viscosity, & size of IV catheter.
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| show | increases
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| What are ways to assess for patency? | show 🗑
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| Positional IV | show 🗑
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| show | 72 hours
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| IV must be flushed every___hours to make sure it doesn't clot off | show 🗑
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| show | swelling above insertion site, coolness to touch, pallor, possible decrease in flow rate
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| show | tenderness, redness, warmth, pain
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| Speed shock | show 🗑
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| show | Level of consiousness
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| show | Intercranial pressure
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| show | place patient on left side and lower head.
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| show | prime tubing, tighten all connections, use air detection pump and be very careful with central lines
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| What are three ways to administer IV meds? | show 🗑
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| show | inadvertent administration of a nonvesicant solution into surrounding tissue
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