NUR 2300 Quiz 1
Questions and
Answers
standard donation transfusion from compatible donor blood
the client's blood is collected in anticipation of future transfusions (elective surgery).
This blood is designated for and used only by the client. Clients can donate up to 6
weeks prior to the scheduled surgery. If the client's hemoglobin and hematocrit
autologous transfusions remain stable, donation can occur weekly until the desired amount of blood for the
anticipated transfusion is collected
-fresh blood can be saved for up to 40 days, or can be frozen for up to 10 years
before use for client who has a rare blood type
sterile blood lost during a procedure is saved or retrieved into a device that filters
intraoperative blood salvage and drains the blood into a bag for transfusion intraoperatively or postoperatively.
Reinfusion must occur within 6 hr of salvaged blood collection
-excessive blood loss: packed RBCs
-anemia: (Hgb less than 6, or 6 to 10 g/dL, depending on findings): packed RBCs
-kidney failure: packed RBCs
indications for blood transfusion -coagulation factor deficiencies such as hemophilia: fresh frozen plasma
-thrombocytopenia/platelet dysfunction: platelets
-hemophilia A: cryoprecipitate
-burns, hypoproteinemia: albumin
-must be infused immediately
-200 to 300 mL given over 15 to 30 min using a special transfusion set with a small
platelet tranfusion considerations and
fiber and short tubing
nursing actions
-vital signs are taken before the infusion, 15 min after the infusion starts, and upon
completion
-frozen immediately following donation
-transfused as soon as the unit is thawed
plasma considerations and nursing actions
-infuse the unit of 200 mL of FFP rapidly over 30 to 60 min through a regular Y-set or
straight filtered tubing
, -immunocompromised people rarely receive WBC transfusions because of the risk
for severe reaction
white blood cell transfusion considerations
-infused WBCs suspended in 400 mL plasma over 45 to 60 min and vital signs are
and nursing actions
taken every 15 min. The presence of the provider may be required according to
agency policy
-infuse a unit of 200 mL over 2 to 4 hr
washed RBCs nursing actions -administer to a client who has a history of transfusion reactions or to a client who
has had a hematopoietic stem cell transplant
RBC male expected findings 4.7-6.1*10^12/L
RBC female expected findings 4.2-5.4*10^12/L
Hgb male expected findings 14-18 g/dL
Hgb female expected findings 12-16 g/dL
Hct male expected findings 42-52%
Hct female expected findings 37-47%
WBC count expected findings 5,000-10,000/mm3
platelet count expected findings 150,000-400,000/mm3
creatine level expected findings 0.6-1.2 mg/dL
BUN expected findings 10-20 mg/dL
urine specific gravity expected findings 1.005-1.030
blood type A antigen Antigen A
blood type A antibodies against B
blood type A compatible with A and O
blood type B antigen B
blood type B antibodies against A
blood type B compatible with B and O
blood type AB antigen AB
blood type AB antibodies against none
blood type AB compatible with A, B, AB, and O
blood type O antigen none
blood type O antibodies against A and B
blood type O compatible with O
Questions and
Answers
standard donation transfusion from compatible donor blood
the client's blood is collected in anticipation of future transfusions (elective surgery).
This blood is designated for and used only by the client. Clients can donate up to 6
weeks prior to the scheduled surgery. If the client's hemoglobin and hematocrit
autologous transfusions remain stable, donation can occur weekly until the desired amount of blood for the
anticipated transfusion is collected
-fresh blood can be saved for up to 40 days, or can be frozen for up to 10 years
before use for client who has a rare blood type
sterile blood lost during a procedure is saved or retrieved into a device that filters
intraoperative blood salvage and drains the blood into a bag for transfusion intraoperatively or postoperatively.
Reinfusion must occur within 6 hr of salvaged blood collection
-excessive blood loss: packed RBCs
-anemia: (Hgb less than 6, or 6 to 10 g/dL, depending on findings): packed RBCs
-kidney failure: packed RBCs
indications for blood transfusion -coagulation factor deficiencies such as hemophilia: fresh frozen plasma
-thrombocytopenia/platelet dysfunction: platelets
-hemophilia A: cryoprecipitate
-burns, hypoproteinemia: albumin
-must be infused immediately
-200 to 300 mL given over 15 to 30 min using a special transfusion set with a small
platelet tranfusion considerations and
fiber and short tubing
nursing actions
-vital signs are taken before the infusion, 15 min after the infusion starts, and upon
completion
-frozen immediately following donation
-transfused as soon as the unit is thawed
plasma considerations and nursing actions
-infuse the unit of 200 mL of FFP rapidly over 30 to 60 min through a regular Y-set or
straight filtered tubing
, -immunocompromised people rarely receive WBC transfusions because of the risk
for severe reaction
white blood cell transfusion considerations
-infused WBCs suspended in 400 mL plasma over 45 to 60 min and vital signs are
and nursing actions
taken every 15 min. The presence of the provider may be required according to
agency policy
-infuse a unit of 200 mL over 2 to 4 hr
washed RBCs nursing actions -administer to a client who has a history of transfusion reactions or to a client who
has had a hematopoietic stem cell transplant
RBC male expected findings 4.7-6.1*10^12/L
RBC female expected findings 4.2-5.4*10^12/L
Hgb male expected findings 14-18 g/dL
Hgb female expected findings 12-16 g/dL
Hct male expected findings 42-52%
Hct female expected findings 37-47%
WBC count expected findings 5,000-10,000/mm3
platelet count expected findings 150,000-400,000/mm3
creatine level expected findings 0.6-1.2 mg/dL
BUN expected findings 10-20 mg/dL
urine specific gravity expected findings 1.005-1.030
blood type A antigen Antigen A
blood type A antibodies against B
blood type A compatible with A and O
blood type B antigen B
blood type B antibodies against A
blood type B compatible with B and O
blood type AB antigen AB
blood type AB antibodies against none
blood type AB compatible with A, B, AB, and O
blood type O antigen none
blood type O antibodies against A and B
blood type O compatible with O
