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Q1.It is Thursday March 3rd 2022 and

Q1.It is Thursday March 3rd 2022 and you are caring for Gemma Whittaker who has had spinal surgery. During the surgery, Gemma lost an estimated 400mL of blood, and now has a Haemoglobin level of 64.The orthopaedic surgeon has ordered a unit of packed red blood cells to be administered over four (4) hours. Please review the following information: Packed Red Blood Cells Label: Label #99999999 0 Rh D NEGATIVE RED CELLS in SAG-M Leukocyte depleted 04390 Store at 2oC to 6oC Volume: 310mL CMV Negative TRANSFUSION INSTRUCTIONS Collected and processed by 1. Properly identify intended recipientAustralian Red Cross 2. Do NOT use if contents show visible signs of deterioration WARNING This product may transmit infectious agents See lab of information for cautions and instructions For more information Telephone: 1300 13 60 13 Blood Transfusion Record Information: Cross-Match Taken:02/03/2022 Unit Number Cross-Matched: 12244689 Recipient’s Blood Type: A+ Donor Blood Type: O- Informed Consent: Yes, written consent obtained PRESCRIPTION: Date Blood Product Pack No. Infusion Rate Doctor’s Signature Administration Commenced by/Checked by 3/3/2022 Packed Red Blood Cells 12244689 4/24 Sign:K. Lucas Print:LUCAS Date: Start: Finish: Date: Start: Finish: Date: Start: Finish: Today you are preparing the above unit of blood for transfusion. After reviewing the above information, do you go ahead and get this ready, this unit of packed red blood cells? Describe your decision-making process. Describe your role once you have arrived with the checking RN to the patient’s bedside, and during the first 30 minutes. Gemma’s baseline vital signs are: HR 60, RR 14, Temp 36.3, BP 114/70, Sp02 97%. When re-checking her vital signs, they are: HR 64, RR 16, Temp 37.4, BP 110/70, Sp02 96%. She has no other signs or symptoms. What would your actions be at this time? Name the two types of blood transfusion reactions? Describe the difference between the two types of transfusion reactions. Q2. What are three (3) worst reactions that can occur with a blood transfusion? Q3. What does it mean to deliver a medication via an intermittent IV infusion using a burette or piggy-back? Why do we sometimes use this method of delivery? Q4. Most commonly, what type of healthcare setting uses a syringe driver to deliver medications? Q5. What types of drugs are normally administered by syringe driver?(Give at least 3) Q6.Give two (2) reasons why syringe drivers are used. Q7. What is a sub-cut line and what it is used for? Q8. .What are acidifiers and alkalisers used for in electrolyte balancing? Q9. What do we mean when we refer to replacement solutions?

 
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