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Terms in this set (30)Red Blood cells may be indicated for a patient with the following: symptomatic anemia (with its associated decreased oxygen carrying capacity) Platelets are most commonly indicated for patients who: are bleeding and have a low platelet count The written post transfusion instructions should be given to All of the above A new signed and witnessed Consent for Transfusion must be obtained For each new transfusion-related diagnosis Which of the following are required on all requisition and specimen tubes (select all that apply): (All) The person drawing the specimen the Blood Bank specimen with a paper requisition must (select all that apply): (all) If a bag of Red Blood Cells arrives on the nursing unit and cannot be used right away, the best thing to do would be (select all that apply): return it to the Blood Bank immediately place it in a Blood Bank Refrigerator if available Blood Components for all patients must be checked: At the bedside using the patient's wristband and blood label If the identifying information on the unit of blood does not match the patient's wrist-band, you should: immediately return the unit to the Blood Bank Michigan Medicine requires that patients who receive blood must sign an informed consent prior to transfusion. (select all that apply): The nurse must look for the consent on the chart prior to the transfusion. One consent is sufficient for a single course of treatment. The nurse may witness the patient's signature on the consent form. A consent is not required in the case of a life threatening emergency transfusion To administer an IV medication through the blood administration line while blood is being transfused, you: Stop the transfusion, and use the saline flush, inject, saline flush method The IV solution completely compatible with blood is: 0.9% sodium chloride (normal saline) A bag of Platelets arrives on the nursing unit that cannot be used right away. The best thing to do is: return it to the Blood Bank immediately The pretransfusion double check includes (select all that apply): (ata) compatibility of patient and donor ABO and Rh types outdate of the blood product product name and donor unit number During the pretransfusion double check, you find that the unit outdates in less than 15 minutes. The component should be: Returned to blood bank The component and paperwork accompanying the unit must be re-checked at the time of transfusion if (select all that apply): The unit is removed from the bedside The unit is placed in a blood storage refrigerator The unit is sent to another nursing unit with the patient Mr. Jones requires an emergent blood transfusion with incomplete pretransfusion testing. You obtain a labeled emergency-unit of RBCS from a blood refrigerator and (select all that apply): Double check unit verifying that the unit is group O and not labeled for another patient Call the blood bank to get the unit replaced if obtained from a refrigerator outside the blood bank Submit a signed requisition with the Emergency Release section signed or order emergency units as "already available on unit" in Carelink Upon receiving blood through the pneumatic tube system the clerk and/or nurse must: (select all that apply) complete the blood delivery form indicating the date and time the product was received verify that the intended recipient is on the unit notify the nurse caring for the patient that the blood component(s) have arrived The possibility of bacterial contamination exists after a bag of blood has been entered. Therefore, an infusion of a blood component should be complete within how many hours of the unit being issued from the blood bank or removed from a controlled blood storage refrigerator on a patient care unit? 4 hours The Blood Bank has notified you that the unit that is hanging is suspected of causing an Acute Hemolytic Transfusion Reaction The infusion may be restarted: Never, because it is incompatible During the first 15 minutes of a transfusion of platelets, Mr. Jenkins exhibits hypotension, shock, fever and chills, nausea and vomiting, and respiratory distress. He may be experiencing which of the following types of transfusion reactions? Bacterial contamination The Acute Hemolytic Transfusion Reaction is an uncommon but potentially fatal complication of transfusion. This reaction is most often due to: Improper patient identification The signs and symptoms of an Acute Hemolytic Transfusion Reaction may include: (select all that apply) Fever and/or chills Hypotension and/or tachycardia Feeling of impending doom The most common cause of severe shortness of breath with increased blood pressure that occurs after a transfusion is: Circulatory overload Miss Green's is receiving a unit of RBCs. Her baseline temperature was 98.0'F and is now 100.0'FThis temperature increase may be due to: Both of the above Hemolytic transfusion reaction Fever unrelated to transfusion Your interventions for Mrs. Green include (select all that apply) Stop the transfusion Call the patient's physician Keep the vein open with normal saline Report the reaction to the Blood Bank In documenting Miss Green's transfusion, you include which of the following in the notes? (select all that apply) ATA The blood product and amount transfused Signs and symptoms Who was notified and when Treatment and patient response The danger of transfusion transmitted diseases: Is present with every blood transfusion A link to information on blood products, Michigan Medicine Transfusion Policies and Procedures, FAQ's and transfusion related forms can be found on the clinical home page under Pathology / Blood Bank& Transfusion True Mrs. Smith rings the call button and states "I'm having trouble breathing". You completed a transfusion of plasma about 30 minutes ago. She does not have hives or laryngeal edema. Which of the following types of transfusion reactions might Mrs. Smith be experiencing? TRALI (Transfusion Related Acute Lung Injury) |
What treatment is recommended following a bacterial contamination reaction? quizlet
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