Administration of blood and blood products
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Sodium chloride (NaCl) concentration of blood | 0.9%
🗑
|
||||
| Define Hematocrit | A measurement of total blood volume
🗑
|
||||
| The Hematacrit for men | 42 - 52%
🗑
|
||||
| The Hematacrit for women | 37 - 47%
🗑
|
||||
| The three plasma proteins | Albumin, Globulins, Fibrinogen
🗑
|
||||
| Plasma proteins that help thicken and maintain blood volume | Albumins
🗑
|
||||
| Plasma proteins include the antibodies that help protect us from infection | Globulins
🗑
|
||||
| Plasma protein that functions as a necessary component for blood clotting | Fibrinogen
🗑
|
||||
| The average blood volume of plasma | 2.6L (2600 mL).
🗑
|
||||
| The average blood volume of RBCs and platelets | 2.4L (2400mL)
🗑
|
||||
| Average total blood volume | 5L (5000mL).
🗑
|
||||
| The average RBC count | 4.2 - 6.2 million/mm3
🗑
|
||||
| How long do RBCs circulate in the body? | 4 months
🗑
|
||||
| Normal hemoglobin level in men | 14 - 18 g/dL
🗑
|
||||
| Normal hemoglobin level in women | 12-16 g/dL
🗑
|
||||
| Vitamins required for RBC production | B12, folic acid, riboflavin (B2), and pryidoxine (B6)
🗑
|
||||
| What is the average WBC count? | 5,000 - 10,000 mm3 of blood
🗑
|
||||
| What WBCs are the primary phagocytic cells involved in acute inflammatory response? | Neutrophils
🗑
|
||||
| What WBCs release lysozyme, an enzyme that destroys certain bacteria? | Neutrophils
🗑
|
||||
| What is the normal value of Neutrophils? | 60 - 70%
🗑
|
||||
| What WBCs play a role in allergic reactions and are effective against certain parasitic worms? | Eosinophils
🗑
|
||||
| What is the normal value of Eosiniphils? | 1-4%
🗑
|
||||
| What WBCs are essential to the nonspecific immune response to inflammation because of their role in releasing histamine during tissue damage or invasion? | Basophils
🗑
|
||||
| What WBCs contain heparin, serotonin, and histamine? | Basophils
🗑
|
||||
| What is the normal value of Basophils? | 0.5 - 1%
🗑
|
||||
| List the Granular leukocytes | The 'phils', Neutrophils, Eosinophils, Basophils
🗑
|
||||
| What WBCs are responsible for the Antigen-antibody process (i.e. B-cells and T-cells)? | Lymphocytes
🗑
|
||||
| What is the normal value of Lymphocytes? | 20-40%
🗑
|
||||
| What WBCs primary job is Engulf foreign antigens, bacteria and cell debris? | Monocytes
🗑
|
||||
| What is the second type of WBC to arrive at the scene of an injury | Monocytes
🗑
|
||||
| What is the normal value of Monocytes? | 2 - 6%
🗑
|
||||
| What are the smallest cells in the blood? | Thrombocytes
🗑
|
||||
| What is the life span of thrombocytes? | 5-9 days
🗑
|
||||
| What is the normal platelet count? | 150,000 - 400,000 mm3 of blood
🗑
|
||||
| Smallest of the plasma proteins, which account for 60% of protein in weight | Albumin
🗑
|
||||
| Where is Albumin synthesized? | The liver.
🗑
|
||||
| Which blood protein acts as an antibody? | Gamma globulins
🗑
|
||||
| Which blood proteins are essential for the transportation of lipids and fat soluble vitamins? | Alpha and Beta Globulins
🗑
|
||||
| What is the largest of the plasma proteins? | Fibrinogens
🗑
|
||||
| What percentage of protein by weight does fibrinogens make up? | 4%
🗑
|
||||
| Where are fibrinogens synthesized? | The liver.
🗑
|
||||
| The 'A' blood type contains which antigen and antibodies? | RBCs contain Type A antigen, Plasma contains Type B anti-bodies
🗑
|
||||
| The 'B' blood type contains which anitgen and antibodies? | RBCs contain Type B antigen, Plasma contains Type A anti-bodies
🗑
|
||||
| The 'AB' blood type contains which anitgen and antibodies? | RBCs contains both type A and B antigen, Plasma contains neither anti-A or B antibodies
🗑
|
||||
| Which blood type is the universal recipient? | Type AB
🗑
|
||||
| The 'O' blood type contains which anitgen and antibodies? | RBCs contain neither type A or B antigen, Plasma contains both anti-A and B antibodies
🗑
|
||||
| Which blood type is the universal donor? | Type O
🗑
|
||||
| An examination in which the different kinds of white blood cells are counted and reported as percentages of the total examined or absolute (actual number) is called | A differential white blood cell count (DIFF)
🗑
|
||||
| What is transfused when whole blood could result in circulatory overload? | Packed RBCs
🗑
|
||||
| What are some indications for the use of whole blood? | Hemorrhage, Hypovolemic shock
🗑
|
||||
| What are some indications for the use of fresh whole blood? | Multiple transfusions, Exchange transfusions
🗑
|
||||
| What blood is transfused in immunosuppressed or hypersensitive PTs? | Deglycerolized/ Washed RBCs
🗑
|
||||
| What is used for people with clotting deficiencies or who had an overdose of warfarin (Coumadin)? | Fresh Frozen Plasma (FFP)
🗑
|
||||
| Define Plasma Exchange (Plasmapheresis) | blood drawn off, cleansed, and components returned.
🗑
|
||||
| What is Cryoprecipitate | fresh-frozen plasma precipitate which contains factors I and VIII.
🗑
|
||||
| What is used to treat v0n Willebrand’s disease? | Cryoprecipitate.
🗑
|
||||
| What is the preferred treatment of hemophilia? | Antihemophilic Factor Concentrate.
🗑
|
||||
| What is used for blood volume expansion in burns, shock, or protein deficiencies? | Fresh Frozen Plasma
🗑
|
||||
| What product would you expect the physician to order if the client needed an increase in oxygen carrying capacity? | Packed RBCs.
🗑
|
||||
| When should the consent form be signed? | no more than 72 hours prior to the administration of the transfusion.
🗑
|
||||
| What must be verified to ensure that the transfusion products match the recipient’s blood? | Blood type and Rh factor.
🗑
|
||||
| What is an Autologous Transfusion? | Blood drawn from the client weeks before the scheduled procedure.
🗑
|
||||
| What is the safest blood for the clients use? | Autologous Transfusion (Clients own blood)
🗑
|
||||
| Why should the IV tubing for the administration of blood products contain a filter? | Prevent infusion of clots.
🗑
|
||||
| What kind of tubing does a blood administration set use? | Y tubing
🗑
|
||||
| How soon must blood be used once its drawn from the blood bank? | within 30 minutes.
🗑
|
||||
| When preparing a RBC bag, how much saline do you let run into it prior to infusion? | 50mL
🗑
|
||||
| What is the initial flow rate of a blood transfusion? | 2mL/minute for the first 15 minutes.
🗑
|
||||
| When do vitals need to be taken on a patient during a blood transfusion? | At the end of the 15 minutes initial flow rate, and every 30 minutes after until transfusion is complete.
🗑
|
||||
| If a reaction occurs during the transfusion, the blood component may be clamped off and what infused? | Normal Saline
🗑
|
||||
| What can cause an Acute Hemolytic reaction? | Infusion of ABO-incompatible whole blood, RBCs, or components containing 10 mL or more of RBC destruction.
🗑
|
||||
| What is the most common reaction to a blood transfusion? | Febrile, non-hemoltyic
🗑
|
||||
| What causes circulatory overload | fluid administration faster than the circulation can accommodate.
🗑
|
||||
| What are some clinical manifistations of circulatory overload? | Cough. Dyspnea. Pulmonary Congestion (rales). Headache. Hypertension. Tachycardia. Distended neck veins.
🗑
|
||||
| What are some clinical manifistations of Sepsis? | Rapid onset of chills. High fever. Vomiting. Diarrhea. Marked hypotension. Shock.
🗑
|
||||
| How often should vitals be assessed if the patient suffers a transfusion reaction? | Every 5 minutes.
🗑
|
||||
| What should be obtained and sent to the lab if the patient suffers a transfusion reaction? | Remaining blood and tubing set used during the transfusion. Sample of the patient’s blood per agency protocol. Urine sample from the patient.
🗑
|
||||
| What is the first thing the LPN should do if a transfusion reaction is suspected? | Immediately stop the transfusion.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Created by:
Shanejqb
Popular Nursing sets