Question

11. You are preparing to administer 2 units of PRBCs. Evaluate each of the following statements for safe blood administration. Enter True or False, discuss why the false statements are incorrect. a. Prime the Blood tubing & filter with NS.  b. Verify K.L.’s identification with the secretary in the GI lab. c. Obtain baseline V/S before the infusion. d. Begin the transfusion at a rate of 125 mL/hr. e. Take K.L.’s V/S every 30 minutes after starting the infusion. f. Complete the transfusion within 6 hours of receipt.

Answer 1

Answer:

Explanation:

A. False - blood tubing and filter should only be primed with the PRBC, not NS, but IV NS should be primed and ready for use in case of a transfusion reaction

B. False - KL identification/ verification should be made by 2 licensed personnel only

C. True - baseline VS should always be obtained prior to transfusion to monitor changes from the baseline which could signal a blood transfusion reaction

D. True - infusion should start 125ml/hour that is usually the standard rate

E. VS should be taken every 15 minutes in the first 30 minutes of infusion, if a transfusion reaction does occur it will occur within the first 15 to 30 of the transfusion that is why it’s monitored more frequently

F. False - Transfusion should be completed within 4 hours, unless otherwise ordered