CNJNE IV EXAM QUESTIONS AND ANSWERS ALREADY PASSED

CNJNE IV EXAM QUESTIONS AND ANSWERS ALREADY PASSED Whole blood consists of - Answers RBCS, WBCs, platelets, plasma and electrolytes -500ml bags Maximum infusion time of blood products - Answers 4 hours When is the use of whole blood indicated? - Answers massive volume depletions What is a CPDA-1 reaction? - Answers occurs with whole blood or RBCs- CPDA-a is a preservative anticoagulant that can cause calcium levels to fluctuate- causing possible cardiac issues Packed Red Blood Cells (PRBCs) - Answers provides the same amount of oxygen carrying blood cells as whole blood at a reduced volume -250-300ml -RH and ABO compatibility necessary Fresh Frozen Plasma (FFP) - Answers plasma left after the RBCs have been removed- contains all clotting factors except for platelets FFP volume - Answers 200-250mL Rate of infusion for FFP - Answers 200ml/h or slower indications for use of FFP - Answers replacement of clotting factors What blood product is ABO and Rh compatibility suggested but not required? - Answers FFP platelet concentration Platelet Concentration - Answers 50-70 ml/unit- contains platelets in small amount of plasma Platelet concentration indication - Answers chemotherapy, thrombocytopenia, leukemia What is the content of cryoprecipitate? - Answers Factor VIII, fibrinogen and other clotting factors 10-20mL indication for cryoprecipitate - Answers von Willebrand's disease DIC refractory bleeding Leukocyte reduced RBCs indication - Answers restores RBCs to patients who have previously had a non hemolytic febrile transfusion reaction or have developed leukocyte antibodies analogous transfusion - Answers transfusion of persons own blood What size IV can be used for transfusion - Answers 20 or larger must be separate IV and administered alone How long should you stay with the patient when blood transfusion? - Answers the whole 1st 15 minutes- most serious reactions can occur at this time then q 30 minutes