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11 Cards in this Set
- Front
- Back
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What fluid do you use when administering blood products?
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-Normal Saline ONLY!!
-->no dextrose soln' or lactated ringers -->no other additives should be given via the same tubing |
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How long should the RN stay with the pt when administering blood?
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-during the 1st 15mins or 50ml the RN should remain with the pt
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How fast should the rate be when administering blood?
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-rate should be no more than 2mL/min
-->usual rate after the 1st 15 mins...1unit over 2hrs |
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How long should it take to administer blood products?
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-should not take more than 4 hours
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What steps should the RN take when an acute blood reaction occurs?
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1. stop the transfusion
2. maintain a patent IV line c NS 3. notify the blood bank & HCP immediately 4. recheck ID tags & #'s 5. monitor VS & urine output 6. tx ssx per MD order 7. save the blood bag & tubing & send them to blood bank for exam 8. complete transfusion reaction reports 9. collect required blood & urine specimens at intervals stipulated by hospital policy to evaluate for hemolysis 10. document on transfusion reaction |
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What time frame do acute reactions occur after a blood transfusion starts?
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-15 mins
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What time frame do delayed reactions occur after a blood transfusion ends?
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-2-14 days after administration
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What should the RN do if a clt has an acute hemolytic reaction after a blood transfusion?
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-tx shock if present
-draw blood samples -maintain BP c IV colloid soln -give diuretics to maintain urine flow -insert indwelling cath or measure amounts of hourly urine output -do not transfuse aditional RBCs |
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What should the RN do if a clt has a febrile reaction after a blood transfusion?
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-give antipyretics as perscribed
-do not restart transfusion |
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What should the RN do if a clt has a mild allergic reaction after a blood transfusion?
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-give antihistamines as directed
-if ssx are mild & transient, transfusion may be restarted |
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What should the RN do if a clt has an anaphylactic & severe allergic reaction after a blood transfusion?
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-initiate CPR if indicated
-have epi ready for injection 0.4 mL of 1:1000 soln SQ or 0.1ml 1:1000 sol diluted to 10ml c saline for IV use -do not restart transfusion |
