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300 QUESTIONS AND ANSWERS
1. What do we check for when doing blood transfusion? - ANSWER
Cross check blood product. Monitor the transfusion for reaction.
2. What can LPN's do during a blood transfusion? - ANSWER LPN's
can double sign when giving blood. 2 signatures required.
3. Antibiotic first or blood first during transfusion? - ANSWER Both
at same time if they have separate lines.
4. What is the first sign of a transfusion reaction? - ANSWER Change
in vital signs, especially temperature elevation.
5. What should you do if a transfusion reaction is suspected? -
ANSWER Stop transfusion immediately, maintain IV access with
normal saline, notify physician.
Blood Types and Compatibility
6. What blood type is the universal donor? - ANSWER Type O
negative (O-
).
7. What blood type is the universal recipient? - ANSWER Type AB
positive (AB+).
8. What temperature should blood products be stored at? - ANSWER
1-6°C (34-43°F) in blood bank refrigerator.
,9. How long can blood be out of refrigeration before it must be
returned? - ANSWER 30 minutes maximum before transfusion
must begin.
10. What is the maximum time limit for completing a blood
transfusion? - ANSWER 4 hours maximum to prevent bacterial
contamination.
11. What vital signs must be taken before blood transfusion? -
ANSWER Temperature, pulse, respirations, blood pressure, and
oxygen saturation.
12. How often should vital signs be monitored during transfusion? -
ANSWER Every 15 minutes for first hour, then every 30 minutes.
13. Can type A blood receive type B blood? - ANSWER No,
incompatible and will cause hemolytic reaction.
14. What happens if incompatible blood is transfused? - ANSWER
Hemolytic reaction, hemolysis, kidney failure, shock, death.
15. What is type and screen? - ANSWER Determines patient's blood
type and screens for antibodies.
16.
17. Can Rh negative patient receive Rh positive blood? - ANSWER
No, will develop antibodies and future reactions.
18. What is crossmatching? - ANSWER Testing patient's blood with
donor blood to ensure compatibility.
19. How long is a crossmatch valid? - ANSWER 72 hours from time of
collection.
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20. How do you treat febrile reaction? - ANSWER Stop transfusion,
give antipyretics, monitor vital signs.
21. What is allergic transfusion reaction? - ANSWER Urticaria,
itching, rash from plasma proteins.
22. What causes circulatory overload? - ANSWER Transfusing too
rapidly or too much volume.