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10 Cards in this Set
- Front
- Back
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PRBC (packed red blood cells)
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are given or administered when someone needs blood
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when are platelets given
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when there is a diagnosis of blood clotting
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when is whole blood given
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only when and if PRBC aren't available
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why is Type O the universal donar
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the plasma is removed from PRBCs so most of the anti-A or anti-B agglutinins or both are removed
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how long can blood hang
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4 hrs otherwise infection could happen
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what should you assess before giving PRBCs
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the label for expiration date, ABO/Rh label, unit #, component label, and any special processes
integrity of unit appearance of blood - uniformity of color; RBCs should not be appreciably darker thatn the bag segments and the remaining plasma shouldn't be murky, purple/blue, brown, or reddish patency of client's vascular access |
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transfusion assessments
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patency of client's vascular access & FLUSH
spike & prime the transfusion assess & document VS and check 15 min after initiating infusion & throughout and at completion if temp increases 1.5 degrees C from baseline notify physician |
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what is the rate of initial transfusion
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2mL.min
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what is the usual amt of infusion time after the initial start
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1 unit of PRBCs over 2 hrs
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what are transfusion reactions
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febrile (fever & chills) - usually 1st 15 min
hypersensitivity (reddened wheals & itching) hemolytic (most dangerous) - progress to shock & death; usually caused by ABO incompatability manifestations such as flushing face, burning sensation, ha, urticaria, chills, fever, lumbar px, abd. px, CP, n/v, ^HR, decreased BP, dyspnea |
