Nursing Study Cards

Blood or blood products Tubing with filter 19 gauge needle for venous access

Reactions less common than with whole blood. Comapnion solution-0.9% NaCL Mix cells every 20-30 mins (squeeze bag) Give over 2-4 hrs

Some febrile reactions Companion solution -0.9% NaCL Use nonwettable filter Give as quickly as possible, 4 units/hour

Circulatory overload risk Administer with straight line set Give as quickly as possible (coagulation factors become unstable)

Possible circulatory overload Use administration set provided 25% albumin-give at 1ml/min Give as quickly as possible if patient is in shock

Hepatitis risk greater than with whole blood allergic/ febrile reactions use straight line set

Allergic and febrile reactions Use component drip set or syringe

Check baseline vital signs, including temperature Run blood slowly (5ml a minute) for first 15 mins Stay with patient for 15-30 minutes Recheck VS 15 mins after infusion started Should be infused within 2 hours Take VS every hour until complete, then hourly for 3 hrs For elderly check VS every 15 mins throughout For elderly infuse over 3-4 hours Change entire IV line for each unit of blood

Stop blood or blood product Restart normal saline Save blood container and tubing and return to blood bank Draw blood sample for plasma, hemoglobin, culture, retyping Collect urine sample for hemoglobin amount Monitor voiding for hematuria

Preoperatuve donation collected 4-6 wks before surgery Iron supplements may be ordered

Prevention of viral infection from donated blood Used for clients with history of transfusion reactions Rare blood type

Acute infection Chronic disease Hemoglobin <11 g/L, hematocrit <33% Cerebrovascular disease Cardiovascular disease

-Hypersensitivity to antibodies in donor's blood -Occurs within 24 hours -Mild- urticaria, itching, flushing -Anaphlaxia- hypotension, dyspnea, decreased oxygen saturation, flushing

-Prevention-premedicate with antihistamines -Stop the blood -Restart the 0.9% NaCL -Notify the physician -Supportive care: Benadryl, oxygen, corticosteroids

-Incompatibility -Occurs within 24 hours -Nausea, vomiting, pain in lower back, hypotension, increase in pulse rate, decrease in urinary output, hematuria