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blood transfusion

cardio

QuestionAnswer
whole blood used in extreme cases of acute hemorrhage replaces blood volume ad al blood products- RBC's plasma, plasma proteins, platelets and clotting factors
PRBC's Packed red blood cells increases O2 used in anemia, surgery and disorders with slow bleeding 1 unit raises 2-3%
autologous Red blood cells used for blood replacement pt donates prior to surgery 4-5 weeks
Platlets bleeding disorders or decreased platlets 1 unit 5000 platlets/microliter
Fresh frozen plasma provides clotting factors does need not need to be typed or crossmatched ^2-3%cloting factor leval
albumin and plasma protein fraction blood volume expander provides pasma proteins
clotting factors and cryoprecipitate used with clotting factor definicines cryoprecipitate contains fibrogyn
hemolytic reaction : wrong blood, incompatibility between clients blood and donor blood.
hemolytic reaction S/S fever or chills, flank pain, and reddish or brown urine; tachycardia, hypotension , back pain,
hemolytic reaction nursing intervention -discontinue the transfusion immediately ; note when transfusion d/c, the tubing must be removed, new tubing for normal saline infusion -maintain vascular accsess, c normal saline or protocol -notify PCP - m/o VS M/O FLUID and I&O
hemolytic reaction nursing intervention 2 send, blood, filter, tubing saline sample of pt blood and urine to lab and saline
febrile reaction sensitivity of clents blood to WBC, platelts, or plasma proteins DOES NOT CAUSE HEMOLYSIS
S/S FEVER CHILLS WARM FLUSHED SKIN, HEADACHE ANXIETY AND NAUSEA
INTERVENTIONS D/C TRANSFUSION KVO C NORMAL SALINE NOTIFY PCP ANTIPYRETICS AS ORDERED
ALERGIC REACTION MILD SENSITIVTY TO INFUSED LASMA PROTEINS
S/S FLUSHING, URTICARIA WITH OR WITHOUT ITICHING
INTERVENTIONS STOP INFUSION NOTIFY PCP ADMIN- MEDS- ANTIHISTAMINES, STEROIDS, AS ORDERED
ALERGIC REACTION SEVERE ANTIBODY - ANTIGEN REACTION
S/S DYSPNEA, STRIDOR, DECREASED O2, CHEST PAIN, FLUSHING, HYPOTENSIION
INTERVENTIONS STOP TRANSFUSION KVO SALINE NOTIFY PCP M/O VS ADMIN CPR IF NEEDED ADMIN MEDS AND O2 AS NEEDED
CIRCULATORY OVERLOAD BLOOD ADMIN FASTER THAN CIRCULATORY CAN ACCOMIDATE
S/S DYSPNEA, ORTHOPNEA, CRACKLES, RALES, DJV, TACHYCARDIA, HEYPERTENSION
INTERVENTIONS STOP TRANFUSION PLACE CLEINT UPRIGHT PCP ADMIN DIERECTICS AND O2 AS NEEDED
SEPSIS CONTAMINDATED BLOOD AMDINISTERED
S/S HIGH FEVER, CHILLS, VOMITING , DIAHREA, HYPOTENSION , OLIGURIA
INTERVENTIONS STOP TRANSFUSION KVO SALINE PCP ADMIN IV FLUIDS AND ANTIBIOITICS OBTAIN BLOOD SPECIEN FROM CLIENT FOR CULTURE SEND REMAINING BLOOD AND TUBING TO LAB
IF HAVE HF 1/2 UNIT
MILD ALLERGIC STOP TILL CLIARIFICATION MAYBE BENERYL ?
Created by: mmishue
 

 



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