This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The patient is scheduled to receive 1 unit of packed RBCs. She has small, fragile veins, and a ... (Read 32 times)

clippers!

  • Hero Member
  • *****
  • Posts: 828
on: Jun 25, 2018
The patient is scheduled to receive 1 unit of packed RBCs. She has small, fragile veins, and a 22-gauge intravenous (IV) patent catheter is in place. What should the nurse do?
 
  a. Cancel the blood transfusion.
  b. Insert a 16-gauge IV catheter into the antecubital fossa.
  c. Use the IV catheter that is in place.
  d. Transfuse the blood over 6 hours.

Question 2

The patient is scheduled to receive a blood transfusion. Preadministration laboratory tests are run to assess the level of which component in the patient's blood?
 
  a. Sodium (Na)
  b. Calcium (Ca)
  c. Potassium (K)
  d. Iron (Fe)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

pocatato

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jun 25, 2018
Answer to Question 1

C
In emergency situations that require rapid transfusions, a large-gauge cannula is preferred; however, transfusions for therapeutic indications may be infused with cannulas ranging from 20 to 24 gauge. Large-gauge cannulas (18 or 20 gauge) promote rapid flow of blood components. 16-Gauge catheters are used frequently in surgery, but not usually on acute care units. Blood must be transfused within 4 hours. Use of smaller-gauge cannulas, such as 24 gauge, often requires the blood bank to divide the unit so that each half can be infused within the allotted time or requires the use of pressure-assisted devices.

Answer to Question 2

C
When blood is stored, there is continual destruction of RBCs, which releases potassium from the cells into the plasma. If blood is transfused rapidly, transient elevated potassium levels may occur before the potassium is reabsorbed and put the patient at risk.


clippers!

  • Member
  • Posts: 828
Reply 2 on: Jun 25, 2018
Gracias!

tandmlomax84

  • Member
  • Posts: 323
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

Side effects from substance abuse include nausea, dehydration, reduced productivitiy, and dependence. Though these effects usually worsen over time, the constant need for the substance often overcomes rational thinking.

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Digestion and absorption of carbohydrates in the small intestine. Digestion and absorption of carbohydrates in the small intestine.
Patient with osteoarthritis Patient with osteoarthritis
Example of a patient statement. Example of a patient statement.
Patient health history form. Patient health history form.
The small intestine. The small intestine.
Video: Spinal Cord Injury Animation

For a complete list of videos, visit our video library