How much? How Fast?
What’s the starting rate for plts?
2mls/kg
Max 120ml/hr
How are patients with blood products monitored?
VS within 15 min of starting, 15 minutes after starting and on completion
plus visualize patient Q30min
What 2 attributes must all blood products for immune-suppressed patient include?
CMV safe and Irradiated
A Hem/Onc only nurse may check blood products for a transplant patient.. True or False?
True
What is the universal donor for PRBCs?
O neg
What’s the starting rate for PRBCs?
2mls/kg
Max 120ml/hr
My patient’s temp was 36.5 before I started, now it’s 37.5.
Is that a transfusion reaction?
No, must be 38 or higher OR accompanied by other signs
Why do we irradiate blood products?
To kills live T-cells and prevent GVH
Blood tubing is good for how many hours?
4
What is the universal donor for Plts?
AB neg or any volume reduced plts
What’s the max rate for PRBCs?
2-5mls/kg/hr
Max rate 300mls
What route should I use for temps during blood product monitoring?
Try and use the same, probably TAT
Why would we wash blood products?
Removes antibody and other irritants for patients who have multiple reactions
Where is the emergency blood fridge?
5th floor hallway on left immediately before OR doors
(Bring another RN and ID stickers)
How long is a type and cross good for?
3 days
What’s the max rate for Plts?
4-8mls/kg/hr or as ordered
2 minutes into a platelets my patient throws up and looks flushed. What should I do?
STOP
Assess; ABCs
Escalate
When do we use premeds?
For any patient who has had a transfusion reaction in the past.
If a parent is present we should also ask confirmation of name and birthdate. True or false?
True
What’s different about the initial type and screen?
2 separate draws
What is the usual dose for PRBCs?
10-15ml/kg
My patient need epinephrine!
Where do I give it and how often can I repeat it?
Thigh IM
Q5 min
What’s my resource for trouble shooting a transfusion reaction?
Transfusion reaction decision making tree
It is OK to give PRBCs and Plts on the same tubing if within exp time. True or false?
False
What’s different about drawing a type and cross?
2 RNs check sample against name band. You also document time and date on tube and rec.