1.3 Blood Transfusion & Autologous Transfusion.pdf

Blood Transfusion & Autologus Transfusion Med Surg: Hematology 5 Steps of Transfusion HESI...

Blood Transfusion & Autologus Transfusion Med Surg: Hematology 5 Steps of Transfusion HESI PRBC 0.9% Q1: Safe administration of PRBCs? Sodium Chloride 250 mL Select all that apply 1. Prime tubing with 0.9% sodium chloride BEFORE (normal saline) 2. Obtain and document a full set of Vital Signs 1. 2 RNs verify order: 3. Check name and blood product with second nurse Name & blood product (blood type & Rh factor) 4. Administer 0.9% sodium chloride after infusion 2. Vital signs 5. Monitor for s/s of transfusion reaction like volume overload (every 15 minutes for first hour) Q2: A nurse is preparing the transfusion of a unit of 3. Prep: blood to a patient with anemia. The nurse knows which intervention is most important to prevent a transfusion 18 G - IV catheter reaction? 2 Tubings Double-checking the blood product’s type for compatibility with the patient’s blood type 1. Blood tubing with filter 2. 0.9% sodium chloride (normal saline) ONLY KAPLAN DURING NO LR, NO dextrose Q1: The nurse is preparing to administer a blood 4. STAY at bedside 15 minutes transfusion to a client who has anemia. Which action should the nurse take first? AB+ A+ B+ O+ Reaction? (slow / stop infusion) Check for the type and number of units of blood to administer AFTER AB- A- B- O- Q2: A nurse is preparing to administer a unit of PRBCs to a client. Which action should the nurse take? 5. 0.9% sodium chloride (normal saline) Rh factor Remain with the client for the first 15 minutes 18G - IV catheter Autologous Transfusion Jehovah Witness PRBC PRBC Collection of blood from a single patient that is retransfused back into the same patient when needed, typically done for clients with particular religious PRBC views like Jehovah Witnesses who can not have other people's blood. HESI The nurse is teaching about autologous transfusion of blood to a group of student nurses. Which statements should the nurse include in the teaching plan? PRBC 3 years MAX Select all that apply. Blood is stored in frozen conditions PRBC Blood is stored for as long as 3 years Blood may not be rejected by the patient’s immune system Top 3 Missed Question Q1: When preparing to administer Q2: Which is the priority nursing Q3: Which is the most a unit of packed red blood cells to action for a patient who develops a appropriate nursing intervention H&H a client with anemia, which nursing high fever and tachycardia during when preparing to administer actions are appropriate? administration of a unit of packed synthetic erythropoietin to a Select all that apply. red blood cells? patient with anemia from chronic renal disease? Highest PRIORITY 1. Ensure that the patient has a 1. Administer 650 mg acetaminophen PO. 1. Give the drug in the patient’s right functioning central venous access 2. Notify the provider. deltoid muscle. NORMAL HIGH LOW catheter. 3. Assess the remainder of the patient’s 2. Hold the dose for a HgB less than 2. Have two licensed nurses verify vital signs. 10 g/dL. the prescription. 4. Stop the infusion. 3. Assess the patient’s blood pressure 3. Assess the patient’s HgB and Hct. prior to administration. STOP 4. Auscultate the patient’s heart and 4. Check the patient’s urine output to lung sounds. ensure an output of at least PRBC 0.9% Sodium Chloride 250 mL 5. Prepare a bag of lactated Ringer’s 30 mL/hr. to administer with the blood.