1. Blood Product Admin.pdf

Blood Product Admin Med Surg: Hematology PRBC What is it? Whole blood, given to increase hemoglobin & hematocrit (H&H) when blood count Packed Red Blood Cells is low from anemia, trauma or surgery. PRBCs MUST be given within 4 hours aft...

Blood Product Admin Med Surg: Hematology PRBC What is it? Whole blood, given to increase hemoglobin & hematocrit (H&H) when blood count Packed Red Blood Cells is low from anemia, trauma or surgery. PRBCs MUST be given within 4 hours after being taken out of the refrigerator. HESI PRBC PRBC (Packed Red Blood Cells) Q1: A child involved in a motor vehicle accident has a thready pulse, decreased blood pressure, rapid Hgb 8 - 11 respiration, and clammy skin with pallor. The child Hemoglobin is not responding to secondary fluid bolus. REPORT to HCP & Surgeon Which treatment would the nurse anticipate administering to ensure the safety of the child? (if before surgery) Red blood cells KEY NUMBERS Q2: A nurse is caring for a patient with hemoglobin Hgb below 7 = Heaven! (Hgb) of 8 g/dL and hematocrit (Hct) of 35%, who is Normal 12 - 18 NEED blood transfusion or die (shock) receiving an infusion of 1 unit of packed red blood cells. The nurse anticipates which results on the patient's next lab work? Risky 8 - 11 Top S/S for shock: HgB 9, HcT 38 Low H&H Below 7 1. Pale skin: pallor, dusky skin signs 1 unit 1 Hgb below 7 2. Cool Clammy skin PRBC HEMOGLOBIN = Heaven 3. Fatigue, Weakness What is it? PLT Proteins that help the blood to clot & form scabs to stop bleeding. Given to clients Platelets with low platelets. Low platelet count typically results from cancers, & certain types of anemia. 150,000 or LESS = Thrombocytopenia 150K OR LESS 50k or less 50,000 = DEADLY! Thrombocytopenia Deadly What is it? FFP Clotting factors that act like glue, helping to stick all the platelets together in order to form a clot & stop bleeding. Fresh Frozen Plasma Given to clients with low clotting factors: Hemophilia Fresh Frozen Liver disease (Cirrhosis & Hepatitis) since the liver helps make clotting factors. PLASMA Side Note: It is important to know the difference between low platelets vs. low clotting factors, since giving a bunch of platelets to a client with hemophilia (low clotting factors) is not going to do anything if they lack the glue that holds GLU E it all together.