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whole blood
uncommon
treat blood loss secondary to trauma or surgical procedures
expand volume in pts with burns, dehydration, and shock
Packed RBCs
treat severe anemia
Platelets
thrombocytopenia
active bleeding
albumin
expands circulating blood volume
treat hypovolemia
burns
Fresh Frozen Plasma
replaces coagulation factors
bleeding/ hemorrhage/ burns/ shock
reverse affects of warfarin
pheresed granulocytes
replace neutrophils/ granulocytes
severe neutropenia
neonatal sepsis
acute hemolytic reaction
all but platelets and albumin
stop transfusion, change tubing, KVO rate with NS, notify provider
febrile reaction
stop transfusion, change tubing, KVO rate with NS, notify provider
allergic/anaphylactic shock
stop transfusion, change tubing, KVO rate with NS, notify provider
give antihistamine and EPI if necessary
circulatory overload
stop transfusion, notify mD, administer diuretics and oxygen as ordered, may need to slow transfusion rate, place pt in upright position w/ feet dependent
sepsis
stop infusion, notify provider, obtain blood culture, treat with fluids, antibiotics, and steroids