Blood Transfusion
Basics
Basics
This is the minimum time that must pass before discarding blood tubing after a transfusion.
What is one hour?
During whole blood or packed cell transfusions, this is the flow rate for the first 10-15 minutes.
What is 2 mL/min?
This must be verified before the patient receives blood products.
What is a signed consent?
This is the most common mild transfusion reaction, often presenting with hives and itching.
What is an allergic reaction?
This size or larger of IV catheter is preferred for rapid transfusion.
What is 20 gauge or larger?
If a unit of packed red blood cells (PRBCs) is administered over less than 2 hours or more than 4 hours, this must be documented in the patient's chart, except in emergency situations or during dialysis or surgery.
What is a physician's order?
This type of blood product is given for the treatment of coagulation disorders.
What is Fresh Frozen Plasma (FFP)?
This should be obtained and documented within 15 minutes prior to starting a blood transfusion.
What is a full set of vital signs?
This severe reaction can occur if there is ABO incompatibility, resulting in fever, chills, dark urine, and back pain.
What is an acute hemolytic transfusion reaction?
When blood is transported via pneumatic tube system, this is the code required to secure it.
What is 2815?
For each blood product transfused, this must be in place before the procedure.
What is a prepare and transfuse order?
This blood product is used to treat symptomatic anemia or red cell deficit.
What are Packed Red Blood Cells (PRBCs)?
This is required to bring with you to the Blood Bank when picking up blood products to ensure proper identification and matching.
What is a patient label?
Dyspnea and peripheral edema are symptoms of this reaction often seen in elderly patients with heart failure or anemia.
What is Transfusion Associated Circulatory Overload (TACO)?
This situation allows a provider to order a blood transfusion without obtaining prior consent.
What is a medical emergency where the patient's health is endangered.
This is how long an inpatient consent for blood transfusion is valid.
What is the current admission only?
To maintain its function, this blood product should be infused as quickly as gravity allows, and the bag should be gently massaged throughout the infusion.
What are Platelets?
The blood administration set should be changed if the next blood component will take longer than this time to transfuse.
What is 4 hours?
Rapid infusion of large volumes of citrate-treated blood products can lead to this reaction, often presenting with muscle cramps and hypotension.
What is hypocalcemia?
In urgent situations when a patient cannot provide consent for blood administration, staff must contact this person and follow Kootenai Health’s Informed Consent Policy.
Who is the legal representative (guardian or power of attorney)?
If a blood product cannot be administered immediately, it must be returned to the Blood Bank within this amount of time.
What is 15 minutes?
This blood product is used to treat deficiencies in Fibrinogen, Factor VIII, and Factor XIII, and is often administered in cases of Hemophilia A and some types of Von Willebrand's disease.
What is Cryoprecipitate?
This must be done simultaneously and in the patient's presence during the blood verification process to ensure all information is accurate.
What is reading aloud all information?
This life-threatening reaction causes pulmonary edema, dyspnea, and hypoxemia, and is the most common cause of transfusion-related death.
What is Transfusion-Related Acute Lung Injury (TRALI)?
This step is required when a patient is transferred to a different care setting (e.g., outpatient to inpatient or vice versa) and continued transfusions are needed even if the treatment remains the same.
What is obtaining a new consent?