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Exam (elaborations)

Medical Surgery Exam 1 Newest 2025 Complete 150 Actual Questions with 100% Correct Verified Answers/ Graded A+

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Medical Surgery Exam 1 Newest 2025 Complete 150 Actual Questions with 100% Correct Verified Answers/ Graded A+

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Medical Surgery Exam 1 Newest 2025 Complete 150 Actual Questions
with 100% Correct Verified Answers/ Graded A+

1. Why do patients 1. anemic w/ a hgb < 8-10
get blood prod- 2. increase their blood volume
ucts? 3. they have a clotting disorder
4. surgical blood loss > 1200
5. never just b/c

2. List the two 1. increase O2 carrying capacity of the blood
main functions 2. reverse tissue hypoxia
of transfusions

3. What is whole -for shock, low blood volume, low Hgb, low Hct, hemor-
blood given for rhage
and how is it -500 mls over 2-4 hrs
transfused?

4. PRBC's 1. must be typed and cross matched
1. what must you 2. Rh neg. gets Rh neg.
do first? 3. 1 unit increase Hgb by 1g/dL or Hct by 3%
2. what must you 4. 4 unit = 300-350mls
do for Rh neg? 5. 250-300 mls given over 2-3 hrs, completed w/in 4
3. how does it af-
fect the blood?
4. 1 unit = how
many mls?
5. what's the infu-
sion rate?

5. Leukocyte poor 1. a blood product in which the WBC's have been removed
RBC's to reduce risk of reaction
1. what are they? 2. patients w/ known nonhemolytic transfusion reactions
2. who are they and imunosuppressed ppl
given to?

6. Frozen Fresh 1. seperated via centrifuge
Plasma 2. to restore plasma volume and treat some bleeding
1. how is it seper- problems
ated? 3. no
2. when is it giv- 4. all clotting factors, antithrombin, plasmin protein
en?



, Medical Surgery Exam 1 Newest 2025

3. are they cross 5. short half-life means it runs over 30-60 minutes and
matched? must be stored frozen, must finish w/in 4 hrs
4. what's in it?
5. how is it in-
fused?

7. Platelets 1. maintain normal coagulability of the blood, given for
1. when is it giv- bleeding disorders and when bone marrow doesn't make
en? enough
2. are they cross 2. no
matched? 3. room temp w/ agitation, expire after 5-7 days
3. how are they
stored?

8. Cryoprecipitate 1. the precipitate after FFP thaws
1. what is it? 2. factor VII, vonWillebrand, fibrinogen, factor XIII
2. what factors 3. for fibrinogen levels < 100, when there's a factor defi-
are in it? ciency that's leading to bleeding
3. when is it giv-
en?

9. What is "type It's a process used to determine blood type compatibility
and cross match- between donor and recipient. Determines Rh and ABO.
ing"?

10. Rh 1. blood factor made of antigens
1. what is it? 2. Rh+ gets + or - blood, Rh- gets - blood only
2. who gets + or -
?

11. ABO 1. O- doesn't have A, B, or O antigens. AB+ has A, B, and
1. who gets O antigens.
what? 2. O- is universal donor. AB+ is universal recipient.
2. who's the uni-
versal donor and
recipient?

12. Blood screening Hep C, HIV, West Nile
checks for...?



, Medical Surgery Exam 1 Newest 2025

13. What religion Jehovas Witness
won't accept
blood transfu-
sions?

14. What are some crystalloids, artificial crystalloids (dextran)
other blood vol-
ume builders?

15. What is an autol- donation to one's self, good for one month
ogous blood do-
nation?

16. Risks of infusion disease transmission (most likely Hep B), bacterial cont-
therapy amination, transfusion rxn, circulatory overload

17. How long after 30 minutes
being brought up
from the blood
bank must the
blood be in-
fused?

18. What must nurse positively ID the pt, inspect the blood, 2-nurse verification,
do to before giv- verify donor-recipient compatibility, check expiration date,
ing blood? get baseline vitals, start IV w/ 18-20G needle to avoid
lysing of cells

19. What must the Infuse slowly for first 15 min and assess q 15 min, watch
nurse do after for vitals, and check vitals regularly
starting a blood
infusion?

20. What is the only 0.9% normal saline
solution that can
be used when
giving blood?

21. Describe a 90% of all reactions; fever, chills; recipient's antibodies
febrile non- react to antigens in the donor's blood

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