Adult Health II: Blood Transfusions

A set of 12 vocabulary flashcards covering essential blood transfusion protocols, compatible fluids, timelines, reactions, and nursing interventions from Adult Health II.

Pre-Transfusion Verification

The verification of order, consent, identity, compatibility, and blood unit details before transfusion.

0.9% Normal Saline

The IV fluid ($0.9\%$ normal saline) that is compatible with packed RBCs.

Blood Release Initiation Timeframe

The window to start blood transfusion after release from the blood bank, generally within $30\text{ minutes}$ per institutional policy.

Maximum Transfusion Time

Four hours per unit, representing the maximum typical blood transfusion duration.

First 15 Minutes

The critical initial monitoring timeframe during which serious acute transfusion reactions may begin early.

Acute Hemolytic Reaction Cues

Signs including fever, chills, back pain, hypotension, and dark urine.

First Response to Suspected Reaction

Stop the transfusion immediately.

Post-Reaction IV Maintenance

Maintaining IV access with normal saline using new tubing per policy after stopping the transfusion.

TACO

Transfusion-associated circulatory overload.

TACO Symptoms

Clinical manifestations of circulatory overload: dyspnea, crackles, hypertension, and fluid overload.

TRALI

Acute noncardiogenic lung injury after transfusion.

Nurse Action After Suspected Reaction

Notify provider/blood bank and follow reaction protocol after stopping the infusion.