Flash.Hem.BloodJesus PerezAugust 1, 2023 Welcome to your Flash.Hem.Blood 1. Flashcard# 1. Hem. BloodFor which conditions is a red blood cell (RBC) transfusion commonly indicated?Anemia, significant blood loss due to surgery or trauma, and certain medical conditions like kidney disease or cancer. 2. Flashcard# 2. Hem. BloodWhen might a patient require a platelet transfusion?Low platelet count (thrombocytopenia) due to conditions like leukemia, bone marrow disorders, or chemotherapy. 3. Flashcard# 3. Hem. BloodWhat is a transfusion reaction?An adverse reaction that occurs when the patient's body reacts against the transfused blood. 4. Flashcard# 4. Hem. BloodWhat is a common sign of a mild allergic reaction to a transfusion?Urticaria (hives) or itching. 5. Flashcard# 5. Hem. BloodWhat symptoms might indicate a hemolytic transfusion reaction?Fever, chills, pain at the infusion site, dark urine, and jaundice. 6. Flashcard# 6. Hem. BloodWhy is it crucial to crossmatch the donor and recipient blood before transfusion?To ensure compatibility and prevent transfusion reactions. 7. Flashcard# 7. Hem. BloodWhat step is essential to prevent transfusion of blood-borne infections?Screening of the donor's blood for infections like HIV, hepatitis B, and hepatitis C. 8. Flashcard# 8. Hem. BloodWhat is the most crucial initial step before starting a blood transfusion?Verify the patient's identity and ensure the blood product matches the patient and the physician's order. 9. Flashcard# 9. Hem. BloodHow often should vital signs be checked during a blood transfusion?Before the transfusion, 15 minutes after the start, and then as per the institution's protocol, typically at the end of the transfusion. 10. Flashcard# 10. Hem. BloodIf a patient exhibits signs of a transfusion reaction, what is the immediate nursing action?Stop the transfusion immediately, keep the IV line open with saline, and notify the healthcare provider. 11. Flashcard# 11. Hem. BloodWhich equipment should always be accessible when administering a blood transfusion?Emergency equipment, including epinephrine, antihistamines, and IV corticosteroids. 12. Flashcard# 12. Hem. BloodHow long should a nurse observe a patient post-transfusion?For at least one hour or as per the institution's protocol to identify any delayed reactions. 13. Flashcard# 13. Hem. BloodWhat considerations should be given to the rate of blood transfusion?Start slowly, especially for the first 15 minutes, then adjust as per patient's tolerance and provider's order. 14. Flashcard# 14. Hem. BloodWhy is it essential to transfuse blood products using a blood administration set with an appropriate filter?To filter out any clots or debris and prevent their infusion into the patient. 15. Flashcard# 15. Hem. BloodHow should a nurse document the transfusion?Record the start and end time, volume transfused, any reactions, vital signs, and other relevant observations. 16. Flashcard# 16. Hem. BloodHow long can a unit of blood generally be hung at room temperature before it must be infused?Usually no longer than 4 hours. 17. Flashcard# 17. Hem. BloodWhy might a patient require pre-medication before a transfusion?To prevent or minimize potential allergic reactions, especially if they've had reactions in the past. 18. Flashcard# 18. Hem. BloodFor patients with a history of transfusion reactions, what precautionary measures should be taken?They may be pre-medicated with antipyretics or antihistamines, and blood transfusion should be administered slowly while monitoring closely. 19. Flashcard# 19. Hem. BloodHow should a nurse manage a patient who declines a blood transfusion due to religious or personal beliefs?Respect the patient's wishes, provide education on potential risks and benefits, and discuss alternative therapies or interventions. 20. Flashcard# 20. Hem. BloodIn patients with congestive heart failure, what is a significant risk associated with blood transfusions, and how can it be minimized?The risk is volume overload or "transfusion-associated circulatory overload (TACO)." To minimize, transfuse slowly and monitor for signs of fluid overload like dyspnea, crackles in the lungs, or sudden weight gain. 1 out of 20 Please fill in the comment box below. Time's up