Transfusion Reactions
After a transfusion reaction where is the blood and tubing sent?
What is to the blood bank for appropriate testing?
What is an intermittent IV line or saline lock?
What is a PIV site that is only accessed for scheduled periods in the day? Example- a patient that is able to eat/drink but needs IV antibiotics?
Where is the torniquet placed when preparing to place an IV?
What is 4-6 inches above the intended site?
What isotonic solution is used to prime with blood?
What is normal saline?
When priming tubing- before the nurse spikes the Iv bag what should be done?
What medication is given for a febrile reaction?
What medication is given for an urticarial reaction?
What is an analgesics.... Tylenol?
What is an antihistamine.... Benadryl?
What is a PICC line?
What is a CVC that is inserted in your arm (basilic vein) and ends at the entrance of the superior vena cava (heart circulation)?
When placing an IV how is the angiocath positioned?
What is bevel up at 10-30 degrees?
Provide an example of Hypotonic solutions?
Provide an example of Hypertonic solutions?
What is normal saline, lactated ringers, plasmalyte?
What is 0.45%NS?
What is 3% NS?
Before a blood transfusion is started the nurse must make sure the patient has what on file?
What is an informed consent?
Why is the nurse required to stay in the room for the first 15 minutes of a blood transfusion?
What is to monitor for a hemolytic reaction?
What is a Port?
What is a CVC that is implanted under the skin at the chest wall for patients with chronic illnesses such as cancer?
How often is the PIV site assessed per textbook?
What is every hour?
Which IV solution should be avoided if head trauma is suspected?
What is a hypotonic solution?
What are symptoms of phlebitis?
What is the area around the IV site is warm, swollen, and red (discolored)?
What are signs and symptoms of a febrile reaction?
What are increased temperature, flushed face, chills, muscle aches?
Muscle aches is not the same as cramping in the nursing/medical world. Cramping is muscle contraction.
What is the universal blood donor type?
What is the universal blood recipient type?
What is O-?
What is AB+ ?
When removing a PIV pressure is held using what material?
What is STERILE gauze?
Which Iv solution should be avoided if the patient has a liver impairment?
What is lactated ringers?
What are symptoms of an infiltration?
The area around the PIV is swollen, cool, painful, discolored?
What are symptoms of a hemolytic reaction?
What is hypotension, tachycardia, fever/chills, chest pain?
What patient should receive fresh frozen plasma (FFP)? How would a nurse know if the FFP was effective?
What is a patient with thrombocytopenia (low platelet count)? The platelet count would be elevated after transfusion and the patient would experience less bleeding/ draining from wounds/sites?
When placing an IV in a patient that is right handed where would the nurse place the PIV?
What area do nurses avoid placing a PIV due to an increase of infiltrations?
What is non-dominant hand (left hand) working distal to proximal? It would be contraindicated to place a PIV distal to the previous PIV site.
What is the Antecubital fossa (AC)?
What size catheter gauge is most appropriate for blood transfusion?
What is 20G?
What are symptoms of fluid overload?
What medication would be given?
What is crackles in the lungs, edema, bounding HR, hypertension, distended jugular neck veins?
Remember what statements patients could make to indicate these symptoms.... example "I feel short of breath."
What is Lasix?