Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
11 Cards in this Set
- Front
- Back
|
What are some important things that need to be done BEFORE the transfusion? |
- patient blood type and cross match - know patient ABO compatibility and RH factor - informed consent - 2 x IV access - get supplies ready (y tubing with in line filter, bag of normal saline etc) |
|
|
What is the ONLY fluid that is compatible with blood? |
0.9% normal saline |
|
|
Why do you need to give the transfusion at a slow rate? |
To prevent circulatory overload |
|
|
Why should you warm the blood before giving it? |
To prevent hypothermic reaction in patients who are receiving large amounts of blood and quickly |
|
|
When do you need to obtain vital signs? |
- before transfusion (baseline) - after 5 mins of transfusion - after 15 mins of transfusion - after 30 mins - hourly until transfusion has finished - an hour after transfusion |
|
|
What are the signs of a blood transfusion reaction? |
Rash/hives Elevated temperature Aching (chest and flank pain) Chills Tachycardia Increased resps Oliguria Nausea |
|
|
What is a hemolytic reaction? |
When the patients immune system is killing the donors RBC’s |
|
|
What can hemolytic reaction lead to? |
Disseminated intravascular coagulation, renal failure and death |
|
|
What is a febrile/non-hemolytic reaction? |
Patients/recipients WBC’s reacting with the donors WBC’s (body starts to make antibodies) |
|
|
What is the first thing you would do after detecting a transfusion reaction? |
STOP THE TRANSFUSION!!! |
|
|
How long do you have to stay with the patient? |
First 15 minutes |
