3 Blood Product Administration and Monitoring Free Online FlashCards

What administration set is generally used for cellular blood components?

Use an approved blood administration set for cellular blood components; ordinary IV tubing should not be substituted unless facility policy permits it.

What key preparations should be completed before transfusion?

Review the order and consent, confirm required pre-transfusion testing, assess the patient and record baseline vital signs and symptoms, and prepare the appropriate equipment.

What should be verified at the bedside immediately before transfusion?

At the bedside, match the required patient identifiers to the product label and transfusion documentation. Confirm the prescribed component, special requirements, applicable compatibility information, and expiration; inspect for leaks, clots, or unusual appearance.

What may be used to prime a blood-component line?

Prime the blood-component line and filter with the component or a compatible solution such as sterile 0.9% sodium chloride.

How should the transfusion be started?

Begin at the prescribed, cautious rate and stay with or closely observe the patient during the first 5–15 minutes.

What should guide transfusion planning for a patient at risk of fluid overload?

Consider the patient's cardiac, renal, and fluid status. A slower rate or other precautions may be ordered for a volume-sensitive patient.

Which vital signs are recorded before transfusion and when are observations repeated?

Record baseline temperature, pulse, respirations, and blood pressure, including relevant existing symptoms. Repeat observations around 15 minutes after starting and at completion; follow policy for further checks.

What are the immediate priorities when a transfusion reaction is suspected?

Stop the transfusion immediately and assess airway, breathing, and circulation. Maintain IV access without flushing blood from the existing tubing; escalate promptly and follow the local reaction protocol.

What does the blood administration filter do?

The standard blood filter, commonly in the 170–260 micrometer range depending on the approved set and local policy, helps remove clots and cellular debris while allowing blood components to pass.

What should you do if a bedside identification check does not match?

Do not guess or start the transfusion. Resolve the discrepancy before administration.

Why avoid infusing other medications through the blood line?

Avoid infusing other medications through the same line at the same time when possible; compatibility problems could occur or a reaction could be harder to identify.

What should happen at about 15 minutes after starting?

Reassess the patient at about 15 minutes. If stable and local policy allows, adjust to the prescribed rate.