ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
GRADED A++ LATEST UPDATE
qualifications for transfusion release or consent (6)
at issue:
1. final clerical check
- two identifiers
- ABO & Rh
2. unit
- ABO & Rh
- donor ID
- expiration date
3. X-match results
4. special infusion req.
5. date & time of release
6. who performed the release
what if there's a delay between release and transfusion?
- never store the bag unless it's unmonitored
- 1-10C
, - if bag has been spiked, it must be infused within 4 hours
-> can't return bag if it's spiked
final check before infusion at bedside (6)
1. appearance
2. ID between bag tag & recipient
3. check against medical order
4. blood type & x-match results
5. unit # vs bag tag #
6. expiration date
the transfusion set
- needle: 22-14 gauge
- peds: 20-18 gauge
-> often 23 gauge wide bore
prophylactic meds
- antipyretics
- antihistamine
what's the catch with blood warmers?
blood that exceeds 42C causes hemolysis
pressure devices
70-300 mL/min
- >300 mmHg may split bag
-> you use up a fck ton of blood as you go through this
electromagnetic infusion devices