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18 Cards in this Set
- Front
- Back
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CULTERAL CONSIDERATION
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JEHOVAH WITNESS:
BELIEVES BLOOD REMOVED FROM BODY SHOULD BE DISCARDED -THEY WILL USE PROCRIT |
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NSG CARE FOR BLOOD TRANSFUSION
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-PROPER ID OF BLD SAMPLE
-PROPER ID OF BLD PRODUCT -IF NOT SURE OF SOMETHING-CALL BLD BANK -MONITOR VS-*CHECK FOR HYPOTENSION |
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BACTERIAL CONTAMINATION
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DONT ALLOW BLOOD TO HANG FOR MORE THAN 4 HRS
-HEPATITIS -HIV -CMV -WEST NILE? |
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MILD TRANSFUSION REACTION
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RASH, HIVES, ITCHING
-CAN GET 24 HRS AFTER BLOOD GIVEN -GIVE BENEDRYL AND CONTINUE TRANSFUSION |
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WHAT SHOULD YOU DO IF TRANSFUSION RXN SEVERE?
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STOP TRANSFUSION AND HANG BLOOD WITH NORMAL SALINE
-KVO AND NS **CALL MD-FOLLOW ORDERS PT CAN GET KIDNEY FAILURE AND DIC BAG,IV-SENT TO TRANSFUSION SERVICE |
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CIRCULATORY OVERLOAD
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-ASSES PT'S LUNGS
**LASIX USUALLY GIVEN** -GOOD IV SHOULD AT LEAST BE RUNNING AT 25CC/HR -ALLERGIC RXN-CAN OCCUR 24 HRS AFTER TRANSFUSION |
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SEVERE TRANSFUSION REACTION S/S
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WHEEZING,FLANK PAIN (BACK PAIN),DYSPNEA,CHILLS,HEADACHE
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WHAT COMPLICATIONS CAN OCCUR W/ TRANSFUSION?
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1.ANAPHYLAXIS (SEVERE AND MILD)
2.CIRCULATORY OVERLOAD 3.BACTERIAL CONTAMINATION |
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HOW SHOULD TRANSFUSION BE STARTED?
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START SLOWLY FOR 1ST 15 MIN
-TRANSFUSION RXN OCCURS BET 15 MIN AFTER BLOOD GIVEN,SO YOU NEED TO REMAIN WITH PT |
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WHEN ARE VS GIVEN FOR TRANSFUSION
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BASELINE AND IN BETWEEN Q 15 MIN
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WHAT IS NEEDED TO DO TRANSFUSION?
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USE 20 NEEDLE OR LARGER "18"
-FILTER (DIFFERENT FILTERS FOR DIFFERNT BLOOD PRODUCTS) -.9 PERCENT SODIUM CHLORIDE ONLY (NORMAL SALINE) |
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CRYOPRECIPITATE
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USED TO CONTROL BLEEDING
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FRESH FROZEN PLASMA (FFP)
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ALBUMIN
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WBC'S (GRANULOCYTES)
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-RARELY USED
-CAUSE A LOT OF REACTIONS -DIE OUT QUICK |
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PLATELETS
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PT GETS 4-6 UNITS AT A TIME
-1 UNIT INCREASES PLATELET COUNT BY 10,000 |
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PRBC'S
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PACKED RBC'S
**USED THE MOST -REMOVES PLASMA,KEEPS RBC'S -GIVEN PRE-OP/POST OP -PT CAN BANK ON RBC'S |
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WHOLE BLOOD
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USUALLY GIVEN IF PT IN CAR ACCIDENT
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APHERESIS
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?
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