Preparation
This must be obtained prior to administering any blood product
Blood consent
I compare my patient's name and MRN on the blood product tag with this
Patient ID band
The first thing I must do if I suspect my patient is having a reaction
Stop the infusion
This must be changed on a central line within 24 hours of giving any blood product
Clave
When my blood must be ordered in mls instead of units
My patient is less than 20 kg
The length of time before my blood tubing expires
4 hours
Name 3 symptoms you watch for when a patient is receiving a blood product
tachycardia, tachypnea, hypotension, hypertension, hives, SOB
Length of time a Type and Screen is good for
72 hours
Ordering my blood with this special consideration reduces the risk of GVHD
Irradiated
The majority of transfusion reactions occur
within the first 15 minutes; hemolytic transfusion reactions usually manifest within the first 50 ml
The most common type of transfusion reaction is:
Allergic reaction: recipient reacts to antibodies to donor plasma proteins including IgA; burning/teary eyes, itchy eyes/nose, rash, hives, N/V, cramping, wheezing, coughing, hypotension
The location I document a blood reaction
Bridge
Ordering my blood with this special consideration reduces the risk of CMV transmission
Leukocyte reduced
Before starting any new product, I must assess:
VS, skin, IV site, and pulmonary system
The two groups I must call if I suspect my patient is having a reaction
Provider and blood bank
True or False: A safety event is required for all blood reactions.
FALSE - A safety event is only required if we deviate from protocol.
This can happen if I prime my blood tubing with D5W or LR
Hemolysis
For patients weighing <20 kg, the starting rate for PRBC is:
5% of the total volume to be transfused
The reason I must not request my blood until I am for sure ready to hang it when it arrives on the floor
Temperature constraints. According to transfusion protocol, RBC products are not suitable for return to inventory if the temperature exceeds 10°C
If a transfusion is given faster than the circulatory system can handle, it could result in:
TACO (leading cause of transfusion related death)- Transfusion Associated Circulatory Overload (dyspnea, cough, HTN, tachycardia, headache, neck vein distention)