Blood transfuse
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| When using whole blood? | frequently used in hemorrhage and shock.
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| How many percent Hbg and Hct when transfuse 1 unit of whole blood? | the hemoglobin by 1 gram and the hematocrit by 3%
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| what is minimum gage IV needle use for transfuse? | 20
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| how many ml in 1 unit of Packed RBC? | 250-300mls
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| what portion of blood contains clotting factor? | plasma
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| How long RBC, WBC, Platelet can store in blood bank? | RBC, WBC: 35 days; platelet: 5 days
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| how many ml in 1 unit of whole blood? | 500ml
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| how many ml in 1 unit of platelet? | 50-70ml
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| How low of platelet level to consider transfuse? | under 100
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| When using packed RBC? | anemic patients, chronic renal failure
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| What is the most concern for low platelet? | cerebral hemorrhage
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| what indicate to Platelets transfuse? | Used to treat bleeding d/t:
thrombocytopenia ;
functionally abnormal platelets
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| how long it need separate plasma from blood and frozen to have Fresh Frozen Plasma | 6hrs
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| how many ml in 1 unit of packed fresh frozen plasma? | 200-250ml
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| how long the Fresh Frozen Plasma can be stored? | 1 year
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| how long Fresh Frozen Plasma after thawing can be used? | withing 1-2hrs
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| what indicate to need albumin transfuse? | Used to treat hypovolemia, shock, & chronic liver failure
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| how many ml in 1 unit of albumin? | 50 ml bottles Commercially manufactured.
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| how long albumin can be stored? | Stored up to 5 years
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| what indicate the need for Cryoprecipatates transfuse? | It is given to treat factor VIII deficiency, low fibrinogen and factor 13 deficiency;
Used to treat hemophilia & congenital or acquired fibrinogen deficiency
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| how long Cryoprecipatates after thawing can be used? | 6hrs
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| how many ml in 1 unit of Cryoprecipatates? | 15 mls/unit
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| Autologous Transfusion cannot be used for what patients? | patients with leukemia or bacteremia
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| how to get blood for Autologous Transfusion | Donations are made every 3rd day as logs as the hemoglobin remains above 11 grams / dl. The blood should be donated within 5 weeks of the need and the last donation should be made at least 3 days before the procedure.
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| Intraoperative/Postoperative Salvage has t o be used within how many hours | 12 hrs
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| what happen if WBC is transfused? | increase of a febrile reaction
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| one filter can be used for how many unit? | The same filter and tubing can be used for 2 – 3 units.
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| how many hour the tubing transfusion need to be changed? | 4 – 6 hours
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| one unit has to be infused within how many hour? | 4 hours
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| what are you going to do when transfusion with Allergic reactions? pt wheezing, restlessness, anxiety, progressing to cyanosis, shock and possibly cardiac arrest | Stop infusion, maintain IV site, give epinephrine per doctor’s order. Initiate CPR if necessary. Obtain urine and blood sample and send blood bag, normal saline, and IV tubing to the lab.
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