Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
AHIV - ch 37
| Question | Answer |
|---|---|
| What solution do you administer with blood products? | Normal saline |
| Blood product verification | This is a 2-person verification process, including the nurse that is administering the blood |
| Beginning the transfusion… | Assess vitals & temp immediately before, begin infusion slowly, stay with patient for first 15 min, teach pt. to mention any unusual sensations, & retake vitals after first 15 min; vitals can then be taken every hour if all is well |
| Older adult accommodations | See table on pg. 818 |
| Febrile transfusion reactions | Occur most often in the patient with anti-WBC antibodies; s/s: chills, tachycardia, fever, hypotension, & tachypnea |
| Hemolytic transfusion reactions | Caused by blood type or Rh incompatibility; mild s/s: fever & chills; life-threatening s/s: DIC & circulatory collapse |
| Allergic transfusion reactions | Anaphylactic transfusion reactions; s/s: urticaria, itching, bronchospasm, or anaphylaxis |
| Bacterial transfusion reactions | Occur from infusion of contaminated blood products, especially those contaminated with a gram-negative organism; s/s: tachycardia, hypotension, fever, chills, & shock |
| Transfusion-related acute lung injury (TRALI) | Life-threatening event that occurs most often when donor blood contains antibodies against the recipient’s neutrophil antigens, HLA, or both; s/s: rapid onset of dyspnea & hypoxia within 6 hrs of the transfusion |
| Transfusion-associated circulatory overload (TACO) | Can occur when a blood product is infused too quickly, especially in an older adult; s/s: hypertension, bounding pulse, distended jugular veins, dyspnea, restlessness, & confusion; only reaction where you slow infusion vs. stop (& give diuretics) |
| Transfusion-associated graft-versus-host disease (TA-GVHD) | Rare but life-threatening problem that occurs more often in an immunosuppressed patient; s/s: occurs within 1 to 2 weeks & includes thrombocytopenia, anorexia, nausea, vomiting, chronic hepatitis, weight loss, & recurrent infection |
| Acute pain transfusion reaction | Rare event with an unknown cause that can occur during or shortly after transfusion of any blood product; s/s: severe chest pain, back pain, joint pain, hypertension, anxiety, & redness of the head & neck |
| Interventions for reactions occurring during transfusions | Begin with stopping the transfusion & removing the blood tubing; initiate rapid response team; flush normal saline in other IV access (keep access if no other, just not through blood tubing!); oxygen; diphenhydramine is given IV push |
Created by:
tatianalopez03
Popular USMLE sets