Blood Products Flash Cards

Making sure the donor and the client blood types are compatible by checking surface antigen on red blood cells. The type and cross is good for 24 hours. Donor’s and client’s blood are mixed to check for agglutination.

Before the start of blood, every 15 minutes x 2 after starting the blood transfusion and then every hour until transfusion is completed or according to the hospital’s policy. Stay with the client for at least the first 15 minutes.  This is when most reactions occur. 

Normal saline. Dextrose will make cell clump togehter

Stop the blood transfusion

< 30 minutes to start transfusion. And must be given over 1 to 3 hours

Urine and blood

Warm it to prevent hypothermia and abnormal coagulation

Shivering, Headache, low back pain, tachycardia, increased respirations, hypotension, oliguria, hematuria. Likely to occur in the first 10 to 15 minutes.

Chills, fever, confusion, hemoptysis, headache. Febrile reaction likely to occur within the first 30 minutes of the transfusion.

Hives, urticaria, wheezing, pruritus, epiglottal edema, & joint pain

AB+

o negative

18G or 20G, according to most sources

Other than stop the transfusion, call MD, Get blood/urine samples, monitor vital signs, send blood and tubing back to the lab.