logging in or signing up Blood Products aSGuest1006 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 4579 Category: Science & Tech.. License: All Rights Reserved Like it (1) Dislike it (0) Added: October 15, 2008 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: iAMkimie (18 month(s) ago) Great presentation. Can I have a copy please? Please forward to my email: khimmie02@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close By: johStream (33 month(s) ago) great slides, hope you can share it... thanx... Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Blood and Blood Products : Blood and Blood Products Whole Blood : Whole Blood Contents RBC’s WBC’s Platelets Plasma Clotting factors Whole Blood : Whole Blood Indications Acute loss of whole blood Packed Cells : Packed Cells Contents RBC’s 20% Plasma Indications Replace O2 carrying capacity with less volume Severe anemia, slow blood loss, CHF Granulocytes : Granulocytes Contents WBC’s 20% Plasma Indications Life-threatening decreases in WBC count Platelets : Platelets Contents Platelets WBC’s Plasma Indications Low platelet counts Plasma : Plasma Contents Clotting factors Fibrinogen Prothrombin Albumin Globulins Plasma : Plasma Indications Clotting factor deficiency Volume expansion Plasma Protein Fraction : Plasma Protein Fraction Contents 5% Albumin/Globin in saline Indications Expand volume in burns Hemorrhage Hypoproteinemia Albumin : Albumin Contents 5% or 25% albumin Indications Replace volume in shock Burns Hypoproteinemia Cryoprecipitate : Cryoprecipitate Contents Factors VIII and XIII, Fibrinogen Indications Hemophilia A Fibrinogen deficiency Factor XIII deficiency Prothrombin : Prothrombin Contents Factors II, VII, IX, and X Indications Hemophilia B Liver disease Blood Transfusion : Blood Transfusion Blood Transfusion : Blood Transfusion Blood must be typed prior to administration Blood Transfusion : Blood Transfusion ABO Antigens A Antigen Type A B Antigens Type B A and B Antigens Type AB No Antigens Type O Blood Transfusions : Blood Transfusions Plasma Antibodies Agglutinate (Clump) Cells of other Types Blood Transfusions : Blood Transfusions Type A = B Antibodies (Clumps B or AB) Type B = A Antibodies (Clumps A or AB) Blood Transfusions : Blood Transfusions Type AB = No Antibodies (Clumps Nothing) Type O = A and B Antibodies (Clumps everything except O) Blood Transfusions : Blood Transfusions O Negative = Universal Donor AB Positive = Universal Recipient Blood Transfusions : Blood Transfusions Rh Factor 85% of Population Rh Positive 15% of Population Rh Negative Blood Transfusions : Blood Transfusions Rh Negative patients produce Rh antibodies only if exposed to Rh Positive blood Blood Transfusions : Blood Transfusions Erythroblastosis Fetalis Rh Negative mother exposed to Rh Positive fetal blood during delivery Mother produces Rh Antibodies Antibodies cross placenta during subsequent pregnancy Fetal blood hemolyses Blood Transfusions : Blood Transfusions Erythroblastosis Fetalis Prevented by administration of Rhogam to mother Transfusion Complications : Transfusion Complications Fever : Fever Most common reaction Donor WBC incompatabilities Antipyretics Allergic Reactions : Allergic Reactions Signs/Symptoms Itching Uticaria Chills Fever Facial edema Wheezing Anaphylactic shock Allergic Reactions : Allergic Reactions Management Oxygen IV fluids Epinephrine Antihistamines Hemolytic Reaction : Hemolytic Reaction Signs/Symptoms Chills, fever Low back pain Headache Chest pain Dyspnea Cyanosis Restlessness, anxiety Hypotension Red urine Hemolytic Reaction : Hemolytic Reaction Management Stop transfusion Treat shock Volume replacement Mannitol Volume Overload : Volume Overload Signs/Symptoms Cough Chest pain Dyspnea Distended neck veins Rales Frothy sputum Volume Overload : Volume Overload Management Slow infusion Diuretics Vasodilators Transfusion Complications : Transfusion Complications Coagulation Disturbances Platelet/Clotting factor deterioration Citrate Intoxication Hypocalcemia Metabolic Alkalosis Hyperkalemia RBC’s Lyse/Release K+ Transfusion Complications : Transfusion Complications Acid/Base Imbalances Banked blood gradually acidifies Poor tissue Oxygenation Loss of 2,3 DPG Transfusion Complications : Transfusion Complications Hypothermia Inadequate warming during transfusion Viral Hepatitis Risk rises with each unit Blood Transfusion : Blood Transfusion IV catheter 18g or larger No fluid other than saline D5W lyses RBC’s LR contains calcium/triggers clotting Two persons confirm ABO/Rh Blood filter in administration set Blood Transfusion : Blood Transfusion Infusion pumps Excessive pressure can cause hemolysis Rewarming above 380C can cause hemolysis Never add medications directly You do not have the permission to view this presentation. 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Blood Products aSGuest1006 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 4579 Category: Science & Tech.. License: All Rights Reserved Like it (1) Dislike it (0) Added: October 15, 2008 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: iAMkimie (18 month(s) ago) Great presentation. Can I have a copy please? Please forward to my email: khimmie02@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close By: johStream (33 month(s) ago) great slides, hope you can share it... thanx... Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Blood and Blood Products : Blood and Blood Products Whole Blood : Whole Blood Contents RBC’s WBC’s Platelets Plasma Clotting factors Whole Blood : Whole Blood Indications Acute loss of whole blood Packed Cells : Packed Cells Contents RBC’s 20% Plasma Indications Replace O2 carrying capacity with less volume Severe anemia, slow blood loss, CHF Granulocytes : Granulocytes Contents WBC’s 20% Plasma Indications Life-threatening decreases in WBC count Platelets : Platelets Contents Platelets WBC’s Plasma Indications Low platelet counts Plasma : Plasma Contents Clotting factors Fibrinogen Prothrombin Albumin Globulins Plasma : Plasma Indications Clotting factor deficiency Volume expansion Plasma Protein Fraction : Plasma Protein Fraction Contents 5% Albumin/Globin in saline Indications Expand volume in burns Hemorrhage Hypoproteinemia Albumin : Albumin Contents 5% or 25% albumin Indications Replace volume in shock Burns Hypoproteinemia Cryoprecipitate : Cryoprecipitate Contents Factors VIII and XIII, Fibrinogen Indications Hemophilia A Fibrinogen deficiency Factor XIII deficiency Prothrombin : Prothrombin Contents Factors II, VII, IX, and X Indications Hemophilia B Liver disease Blood Transfusion : Blood Transfusion Blood Transfusion : Blood Transfusion Blood must be typed prior to administration Blood Transfusion : Blood Transfusion ABO Antigens A Antigen Type A B Antigens Type B A and B Antigens Type AB No Antigens Type O Blood Transfusions : Blood Transfusions Plasma Antibodies Agglutinate (Clump) Cells of other Types Blood Transfusions : Blood Transfusions Type A = B Antibodies (Clumps B or AB) Type B = A Antibodies (Clumps A or AB) Blood Transfusions : Blood Transfusions Type AB = No Antibodies (Clumps Nothing) Type O = A and B Antibodies (Clumps everything except O) Blood Transfusions : Blood Transfusions O Negative = Universal Donor AB Positive = Universal Recipient Blood Transfusions : Blood Transfusions Rh Factor 85% of Population Rh Positive 15% of Population Rh Negative Blood Transfusions : Blood Transfusions Rh Negative patients produce Rh antibodies only if exposed to Rh Positive blood Blood Transfusions : Blood Transfusions Erythroblastosis Fetalis Rh Negative mother exposed to Rh Positive fetal blood during delivery Mother produces Rh Antibodies Antibodies cross placenta during subsequent pregnancy Fetal blood hemolyses Blood Transfusions : Blood Transfusions Erythroblastosis Fetalis Prevented by administration of Rhogam to mother Transfusion Complications : Transfusion Complications Fever : Fever Most common reaction Donor WBC incompatabilities Antipyretics Allergic Reactions : Allergic Reactions Signs/Symptoms Itching Uticaria Chills Fever Facial edema Wheezing Anaphylactic shock Allergic Reactions : Allergic Reactions Management Oxygen IV fluids Epinephrine Antihistamines Hemolytic Reaction : Hemolytic Reaction Signs/Symptoms Chills, fever Low back pain Headache Chest pain Dyspnea Cyanosis Restlessness, anxiety Hypotension Red urine Hemolytic Reaction : Hemolytic Reaction Management Stop transfusion Treat shock Volume replacement Mannitol Volume Overload : Volume Overload Signs/Symptoms Cough Chest pain Dyspnea Distended neck veins Rales Frothy sputum Volume Overload : Volume Overload Management Slow infusion Diuretics Vasodilators Transfusion Complications : Transfusion Complications Coagulation Disturbances Platelet/Clotting factor deterioration Citrate Intoxication Hypocalcemia Metabolic Alkalosis Hyperkalemia RBC’s Lyse/Release K+ Transfusion Complications : Transfusion Complications Acid/Base Imbalances Banked blood gradually acidifies Poor tissue Oxygenation Loss of 2,3 DPG Transfusion Complications : Transfusion Complications Hypothermia Inadequate warming during transfusion Viral Hepatitis Risk rises with each unit Blood Transfusion : Blood Transfusion IV catheter 18g or larger No fluid other than saline D5W lyses RBC’s LR contains calcium/triggers clotting Two persons confirm ABO/Rh Blood filter in administration set Blood Transfusion : Blood Transfusion Infusion pumps Excessive pressure can cause hemolysis Rewarming above 380C can cause hemolysis Never add medications directly