Reactions
How many types of allergic reactions are possible with blood transfusions?
3 possible types.
Allergic
Febrile
Hemolytic
What size IV gauge is needed for Blood transfusion?
Routine transfusion: 20-22g
Rapid transfusion: 18g or larger
What is the normal range for hemoglobin
Women: 12-16 g/dL
What type of IV tubing is needed for a blood transfusion?
Y tubing
What should you always check before blood administration?
Always check the MRN and DOB of patient.
What are some symptoms of allergic reactions?
itching
bronchospasm
anaphylactic
How many RNs are needed for an IV blood transfusion
TWO!
How many types of blood are there? What are they?
Four blood types
A, B, AB, and O
Is a blood transfusion considered a sterile procedure?
yes it is a sterile procedure. Although you do not need sterile gloves, only clean.
Why would a patient refuse a blood transfusion?
A patient may refuse a blood transfusion due to religious reasons or personal preference.
what are some symptoms of hemolytic reactions?
tachypnea
chest pain
hypotension
mild --> fever, chills, headache
severe --> DIC, circulatory collapse
What is the only type of fluid that can be ran with Blood?
What blood type is considered the universal donor?
Type O- blood
What type of IV pump is needed for a blood transfusion?
A rapid transfusion pump is needed.
CONSENT! always make sure you obtain consent from a patient.
fever
chills
tachycardia
hypotension
tachypnea
How long do you need to stay with the patient after a blood transfusion?
15 Minutes
What blood type is considered the universal recipient
Blood type AB
What size saline bag is needed along side with the blood transfusion?
250mL bag
What is the most common error on blood administration.
Improper labeling/documentation
What is the time frame that most reactions appear in?
15 minutes to 24 hours.
What patient history is important before preforming a blood transfusion?
Which blood type is considered the "most rare"
Type AB
What type of antiseptic swab would you use for a blood transfusion?
Chlorohexidine is preferred. However, you can use povidone-iodine, or 70% alcohol
What should you obtain before administering a blood transfusion, relating to vitals?
Always obtain patient baseline vitals.