Blood Administration
A patient has to give _______ in order to receive blood products.
Informed Consent
CVADs go into ______ to deliver intravenous medications.
into the heart
If you suspect someone is having a transfusion reaction, what is your first action?
STOP the infusion
How many RNs are required to check correct blood product administration?
2 RNs
What is a thrombus?
dislodged blood clot that is now in circulation
S/S of allergic transfusion reaction
flushing, hives, rash, itchy skin --> if severe --> Anaphylaxis (dyspnea, hypotension, anxiety)
A ______ is completed to ensure that blood products are compatible with the patient.
type and cross match
How often do patients with CVADs get a CHG bath?
daily
S/S febrile reaction
fever, chills, headache, tachycardia, tachypnea
What sorts of IV fluids are blood products compatible with?
Normal Saline (NaCl) ONLY
Dressing changes occur ____(1)____ OR when the dressing appears ____(2)_____.
(1) weekly
(2) appears soiled, peeling
S/S hemolytic reaction
flank pain, back pain, hemoglobinuria, tachycardia, fever, hypotension, tachypnea
What is the protocol following blood administration?
Continuous RN observation and vitals for 15 minutes, then hourly until infusion is complete
You suspect your patient is developing a CLABSI (central line-associated bloodstream infection). What actions do you take next?
Draw blood culture, then begin broad-spectrum antibiotics. Once the cultures come back, you may choose a different antibiotic to be more effective/narrow spectrum.
What type of reaction?
Client is experiencing tachycardia, hypotension, fever, tachypnea, and report back pain.
Hemolytic Reaction