The Revision Guide for Student Nurses (Part I)

Blood Transfusions - Answers

ANSWERS

  1. What are the 2 main indications for a blood transfusion?
    • Provision of oxygen transport (following acute haemorrhage, acute haemolysis or chronic anaemia).
    • Provision of clotting factors (following acute Warfarin poisoning).
  2. How much blood may safely be obtained from a donor cat or dog?
    10-20mls/kg can be collected from a dog, while a total of 40mls can be collected from a cat.
  3. What anticoagulants are used for transfusion blood?
    • Acid citrate dextrose (blood can be stored at 4° C for up to 3 weeks).
    • Citrate phosphate dextrose (blood can be stored at 4° C for up to 4 weeks).
  4. How is plasma stored?
    Frozen at -70° C. It may be stored at this temperature for up to 6 months.
  5. Dogs of the blood group DEA 1.1 -ve and DEA 1.2 -ve are very useful; why?
    They are universal donors.
  6. How does a blood administration set differ to a normal fluid infusion set?
    It incorporates a nylon net filter to remove any aggregated red blood cells or other coagulation debris.
  7. What are the signs of a transfusion reaction?
    • Facial oedema.
    • Vomiting.
    • Tachypnoea.
    • Tachycardia.
    • Salivation.
    • Pyrexia.
    • Tremors.
    • Haematuria.
    • Uticaria.
    • Pruritis.
    • Haemolytic anaemia.
    • Convulsions.
    • Coma.


    A practical task: the blood transfusion accompanies this module