Medical Surgery Exam Questions with 100% verified solutions Already Grade A+Latest Version .pdf

Medical Surgery m




1. Why do patients get blood products?: 1. anemic w/ a hgb < 8-10
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2. increase their blood volume m m m




3. they have a clotting disorder
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4. surgical blood loss > 1200 m m m m




5. never just b/c m m




2. List the two main functions of transfusions: 1. increase O2 carrying capacityof t
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he blood
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2. reverse tissue hypoxia m m




3. What is whole blood given for and how is it transfused?: -
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for shock, low bloodvolume, low Hgb, low Hct, hemorrhage
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-500 mls over 2-4 hrs
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4. PRBC's

1. what must you do first?
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2. what must you do for Rh neg?
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3. how does it affect the blood?
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4. 1 unit = how many mls?
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5. what's the infusion rate?: 1. must be typed and cross matched
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1m/m26

,2. Rh neg. gets Rh neg.
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3. 1 unit increase Hgb by 1g/dL or Hct by 3%
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4. 4 unit = 300-350mls
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5. 250-300 mls given over 2-3 hrs, completed w/in 4
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5. Leukocyte poor RBC's
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1. what are they? m m




2. who are they given to?: 1. a blood product in which the WBC's have beenre
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moved to reduce risk of reaction
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2. patients w/ known nonhemolytic transfusion reactions and imunosuppressed ppl
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6. Frozen Fresh Plasma
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1. how is it seperated?
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2. when is it given? m m m




3. are they cross matched?
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4. what's in it? m m




5. how is it infused?: 1. seperated via centrifuge
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2. to restore plasma volume and treat some bleeding problems
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3. no

4. all clotting factors, antithrombin, plasmin protein
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5. short half-life means it runs over 30-
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2m/m26

,60 minutes and must be stored frozen, mustfinish w/in 4 hrs
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7. Platelets
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1. when is it given?
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3m/m26

, 2. are they cross matched? m m m




3. how are they stored?: 1. maintain normal coagulability of the blood, given forb
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leeding disorders and when bone marrow doesn't make enough
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2. no

3. room temp w/ agitation, expire after 5-7 days
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8. Cryoprecipitate
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1. what is it? m m




2. what factors are in it? m m m m




3. when is it given?: 1. the precipitate after FFP thaws
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2. factor VII, vonWillebrand, fibrinogen, factor XIII
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3. for fibrinogen levels < 100, when there's a factor deficiency that's leading tob
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leeding

9. What is "type and cross matching"?: It's a process used to determine bloodty
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pe compatibility between donor and recipient. Determines Rh and ABO.
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10. Rh

1. what is it? m m




2. who gets + or - ?: 1. blood factor made of antigens
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2. Rh+ gets + or - blood, Rh- gets - blood only
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11. ABO m


4m/m26