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14 Cards in this Set

  • Front
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What percentage of pop has Rh factor

85%

Whole blood

Used for cardiac surgery or acute hemorrhage contains a full unit of platelets

Red blood cells

Anemic


Surgery


Congestive heart failure


Hbg <80 mmol/L



One unit raises hematocrit by 4% and Hbg by 10 mmol

Platelets

Clear and light pink in colour



For pts with bleeding disorders



Plasma

Expands blood vol


Provides clotting factors except for platelets


Does NOT need to be crossed matched,but ABO compatibility must be confirmed

Albumins

Blood vol expander


Provides plasma proteins


Used for burn victims

Clotting factors and cryoprecipitate

For pt with clotting factors deficiency

What size needle should blood be administered by?

18 or 19 gauge


Small needles may slow rate or damage cells

How long should whole blood and packed RBCs be hung for

No longer than 4 hr

When should blood administration sets be changed?

Q4h

What's the length of time you need to use blood within?

Half hour from blood bank

What should you do to pt before giving blood?

Obtain consent and baseline vs

Acute reactions

Acute hemolytic- from ABO /Rh incompatibility. Occurs quickly in the first 15-30 min. May be mild fever and chills to life threatening


S&S: headache, chest pain, low back pain, Tackycardia



Febrile non-hemolytic - MOST COMMON occurs AFTER 30 min. Increased risk after multiple transfusion


S&S: cold sensation, Tackycardia, fever, tackypnea



Allergic - may occur during OR after. Usually NOT severe.


S&S: hives, occasionally anaphylaxis




What should you start the infusion rate at?

50 ml for first 15 mins