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All About Blood
M6 PII Blood Administration
| Question | Answer |
|---|---|
| What are the three functions of Blood? | Transportation, pH Regulation, Protection |
| What body system is responsible for Blood Transportation? | Circulatory |
| RBC's are also referred to as? | Erythrocytes |
| WBC's are also referred to as? | Leukocytes |
| What two types of Leukocytes are there? | Granular & Non-Granular |
| Name the three "phils" | Basophil, Eosinophil, Neutrophil |
| What are the two types of Non-Granular Leukocytes? | Monocyte & Lymphocyte |
| What is the Sodium Chloride concentration for Blood? | 0.9% |
| Plasma makes up what percentage of blood volume? | 55% |
| WBC's and RBC's make up what percentage of blood volume? | 45% |
| What is the function of Hemoglobin? | carries oxygen from lungs to cells and carbon dioxide from cells to lungs |
| RBC size is usually expressed as? | Macrocytic, Microcytic, Normocytic |
| The average life span of a RBC is how many days? | 120 |
| Where are RBC's continuously produced in? | red bone marrow |
| The production of RBC's is known as? | Erythropoiesis |
| What triggers Erythropoiesis? | enzyme released by kidneys (Erythropoietin) |
| What is a Hematocrit? | test that measures packed volume of RBC's |
| A decrease in Hemaglobin causes what? | less oxygen to cells which causes less energy production/cellular function (ANEMIA) |
| What is a "differential WBC count" used for? | identification in WBC increase to determine hidden infection |
| Where do Granulocytes develop? | Red Bone Marrow |
| What is Phagocytosis? | process in which bacteria, cellular debris, and solid particles are destroyed and removed |
| What is the function of Lysozyme? | enzyme released by Neutrophils to destroy certain bacteria |
| Bone marrow stores how many Neutrophils? | 6 day supply |
| Describe "bandemia". | usually seen in patients with serious bacteria infections where Neutrophil reserves are completely depleted and immature Neutrophils are being released in "bands" |
| When are Eosinophils released? | during allergic reactions |
| What do Basophils respond to? | inflammation |
| What do Basophils release? | Histamine (during tissue damage or invasion) |
| What role do Monocytes play? | the "combat medics" of the blood (they remove dead bacteria and cells during tissue/cell injury) |
| What is the function of Lymphocytes? | form antigen-antibodies for future protection |
| Two types of Lymphocytes. | B cells and T cells |
| What are the functions of B cells? | search out, identify, bind, and destroy |
| What are the functions of T cells? | divide, reproduce, and destroy |
| What are the smallest cells in the blood? | Thrombocytes (AKA Platelets) |
| What is the lifespan of Thrombocytes? | 5-9 days |
| What three actions take place to prevent hemorrhage? | vessel spasm, platelet plug, clot formation |
| Where are antibodies found? | In the blood plasma |
| Where are antigens found? | In the plasma membrane |
| What blood type is Universal DONOR? | Type O |
| What blood type is Universal RECIPIENT? | Type AB |
| Name two types of adverse blood transfusion reactions. | Agglutination & Hemolyzation |
| What happens to the RBC's during Agglutination? | donor cells clump together and occludes arteries |
| What happens to the RBC's during Hemolyzation? | antibodies cause donors RBC's to rupture and release their cell contents |
| What is Polysynthemia? | overproduction of blood cells |
| What is the normal blood volume for men? | 42-52% |
| What is the normal blood volume for women? | 37-47% |
| What are the three proteins in Plasma? | Albumin, Globulin, Fibrinogen |
| Function of Albumin. | thicken and maintain blood volume |
| Function of Globulin. | protect us from infection through antibodies |
| Function of Fibrinogen. | necessary for blood clotting |
| Adults average how many liters of blood? | 4-6 |
| Normal Hemoglobin level for men. (g/dl) | 14-16g/dl |
| Normal Hemoglobin level for women. (g/dl) | 12-16g/dl |
| Normal Neutrophil percentage level. | 60-70% |
| Life span of Neutrophil. | 7 hours |
| Normal Eosinophil percentage level. | 1-4% |
| Normal Basophil percentage level. | 0.5-1% |
| Normal Lymphocyte percentage level. | 20-40% |
| Normal Monocyte percentage level. | 2-6% |
| What is Thrombocytopoenia? | reduced platelet count |
| Name two indications for Whole Blood? | Hemorrhage, Hypovolemic Shock |
| Name two indications for Fresh Whole Blood? | Multiple transfusions, Exchange Transfusions |
| Name three indications for Packed RBC's? | when whole blood could result in circulatory overload, symptomatic Anemia, Hemoglobin <6 g/dL |
| Name two indications for Deglycerolized RBC's? | extreme hypersensitivity, bone marrow transplant clients |
| Name three indications for Fresh-Frozen Plasma? | clotting deficiencies, warfarin overdose, blood volume expansion |
| Name three indications for Plasma Exchange? | immune related disorders, Rheumatoid Arthritis, Systemic Lupus |
| Name two indications for Platelets? | history of febrile or allergic reactions, Thrombocytopenia (decreased platelets) |
| Physician order for blood administration needs to specify what four things? | Type of blood, Volume, Infusion Rate, and specific conditions |
| Infusion consent form should be signed no more than? | 72 hours prior to transfusion |
| What is an Autologous Transfusion? | patient donating their own blood for later use |
| A blood product must be used within __ minutes of leaving the blood bank. | 30 |
| What should the nurse complete after a blood transfusion? | vital signs |
| Name 6 types of transfusion reactions. | Anaphylactic, Circulatory Overload, Sepsis, Mild Allergic, Febrile Non-Hemolytic, Acute Hemolytic |