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Revision Guide For Student Nurses - Part 2
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Blood Transfusions - Answers
ANSWERS
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).
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.
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).
How is plasma stored?
Frozen at -70° C. It may be stored at this temperature for up to 6 months.
Dogs of the blood group DEA 1.1 -ve and DEA 1.2 -ve are very useful; why?
They are universal donors.
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.
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
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