Blood, Pain, and CVDA

Blood Administraiton

100

This potential complication of a blood transfusion does not involve salsa or guac.

TACO

Transfusion-Associated Circulatory Overload

Symptoms?

200

This is the length of time you have to complete a blood transfusion after the blood is dispensed by the Blood Bank.

4 hrs

300

These are the actions associated with your roles as a Professional, Educator, and Collaborator when participating in a blood transfusion.

Verifying consent

Patient Education

Complete Documentation 

400

These are time points and vital signs to be documented during a blood product transfusion.

Temperature, HR, RR, BP

Pre transfusion

Intra- transfusion (15 minutes and at every 60 minutes)

Post- transfusion

500

During this type of transfusion reaction, a patient may experience fever, chills, back pain, nausea, dyspnea, hypotension, bronchospasm, and acute renal failure.

Acute Hemolytic Reaction

Blood Product

100

This blood product contains RBCs, Platelets, and Plasma

Whole Blood

200

This blood product may be administered for bleeding or deficiencies of clotting factors.

Fresh Frozen Plasma

300

Post-transfusion of this blood product, a clinician expects to see lab value increases in hemoglobin by 1g/dl and hematocrit by 3%

Red Blood Cells

400

These systems identify which antigens are present on the red blood cell membrane.

The ABO and Rh systems

500

These are pharmacologic alternatives to blood transfusions.

Erythropoietin, Granulocyte Colony-Stimulating Factor (Neupogen), Thrombopoietin, Iron

Pain Managment

100

This acronym may be used to assess pain

COLDSPA

PQRST

ABCDE

200

These are examples of non-pharmacological pain interventions

heat, cold, bracing, guided imagery, meditation, distraction, relaxation...

300

These are adverse effects of opioid analgesics

Constipation, nausea, vomiting, pruritus, sedation, respiratory depression

400

This term is now preferred when discussing a patient who has developed opioid tolerance and dependence

Opioid use disorder

500

These are strategies I can use to address personal implicit bias.

Self-reflection/introspection, mindfulness, perspective-taking (learn about other points of view), slow down- pause before making a reflexive action (think before you speak), recognize individuals...

CVAD

100

What is a central venous access device or central venous catheter?

A catheter which terminates in one of the great vessels in or near the heart.

SVC, IVC

200

These are reasons a patient may require a central line.

Medications, parenteral nutrition (TPN), long-term abx, hemodialysis

300

These are alternative vascular access catheters (central and non-central)

PICC

Midline

Extended Well or Long PIV

400

These are examples of actions related to your roll as a Professional, Educator, and Collaborator during central line insertion.

Verify consent, participate in the universal protocol, patient education, monitor for patient safety, and document central line use.

500

This type of central line has a lower risk of infection and is placed for long term use.

Tunneled Central Line

CLABSI Prevention

100

This is the #1 thing you can do to prevent hospital-acquired infections.

HAND HYGIENE!!!!!!!!!!!!!!!!!!!!

200

This action is needed prior to accessing a central line port.

Scrub the hub!

300

These are signs and symptoms of CLABSI

Redness and or drainage at insertion site, fever, tachycardia, hypotension

400

This technique is an evidence-based nursing approach to prevent central line occlusion.

Pulsatile flushing

500

What are potential complications related to central line removal?

bleeding, air embolism, catheter fracture, dislodgment of thrombus