linton Medical Surgery nursing

Why do patients get blood products? - answer-1. anemic w/ a hgb 8-10 2. increase their blood volume 3. they have a clotting disorder 4. surgical blood loss 1200 5. never just b/c List the two main functions of transfusions - answer-1. increase O2 carrying capacity of the blood 2. reverse tissue hypoxia What is whole blood given for and how is it transfused? - answer--for shock, low blood volume, low Hgb, low Hct, hemorrhage -500 mls over 2-4 hrs PRBC's 1. what must you do first? 2. what must you do for Rh neg? 3. how does it affect the blood? 4. 1 unit = how many mls? 5. what's the infusion rate? - answer-1. must be typed and cross matched 2. Rh neg. gets Rh neg. 3. 1 unit increase Hgb by 1g/dL or Hct by 3% 4. 4 unit = 300-350mls 5. 250-300 mls given over 2-3 hrs, completed w/in 4 Leukocyte poor RBC's 1. what are they? 2. who are they given to? - answer-1. a blood product in which the WBC's have been removed to reduce risk of reaction 2. patients w/ known nonhemolytic transfusion reactions and imunosuppressed ppl Frozen Fresh Plasma 1. how is it seperated? 2. when is it given? 3. are they cross matched? 4. what's in it? 5. how is it infused? - answer-1. seperated via centrifuge 2. to restore plasma volume and treat some bleeding problems 3. no 4. all clotting factors, antithrombin, plasmin protein 5. short half-life means it runs over 30-60 minutes and must be stored frozen, must finish w/in 4 hrs Platelets 1. when is it given? 2. are they cross matched? 3. how are they stored? - answer-1. maintain normal coagulability of the blood, given for bleeding disorders and when bone marrow doesn't make enough 2. no 3. room temp w/ agitation, expire after 5-7 days