ADMINISTRATION OF BLOOD PRODUCT || BY SHREYA MAM || MUST WATCH BEFORE YOU INFUSED ANY BLOOD PRODUCTS

[00:00:03]Administration of blood products 1 g hemoglobin carry 1.34 ml of oxygen hemoglobin 1.3 ml 1.3 ml oxygen CDP or anti-coagulant used in blood antiqu for D for dextrose P for phosphate A for adenine compatibility compatibility matching of blood from two portion by two different type of antigen system cross matching testing of donor blood and recipient blood for compatibility within 4 hour after collection of sample Crossatching bloodline acidic acid. Next types of blood components.

[00:01:15]Blood components.

[00:01:17]RBC. RBC. Red blood cells.

[00:01:22]Red blood.

[00:01:24]cells.

[00:01:26]One unit of PCB cell volume 1 RBC 250 ml RBC one unit increase hemoglobin by 1 g per dl and hematocrit by two 2% to 3%.

[00:01:59]1 g perm increase 2 to 3% laboratory values takes 4 to 6 after blood transfusion blood transfusion blood transfusion sorry to 6 hour after blood Transfusion trans infusion time of RBC 2 to 4 hours. RBC 2 to 4 hours less than 2 hours.

[00:02:40]Blood grow storage time of RBC RBC storage time 35 to 42 days temperature for storage 1 to 6° hemory surgery time hemorrhage Then trauma normal hemoglobin normal hemoglobin Normal hemoglobin adult male adult male 13.5 to 17.5 g per dl adult female 12 to 15 g per day. Then pregnant normal more than 11 g permal hemoglobin 8 to 20 g permal hemoglobin level. Next platelet.

[00:04:12]Platelet. One unit platelet 50 to 70 ml.

[00:04:16]One unit 50 to 70 ml.

[00:04:22]Let administer rapidly usually over 15 to 30 minutes time to 15 to 30 minutes.

[00:04:35]Platelet storage time 5 to 7 days.

[00:04:40]Temperature for storage 22 to 24° centigrade or 72° F.

[00:04:51]Evaluation of an effective response are evaluated 1 hour and 18 to 24 hours after the transfusion.

[00:05:02]Types of platyp are prepared from donated blood within 4 to 6 hours of collection by centrifugation.

[00:05:29]HTP HTP are prepared by platelet. STP prepare one unitp increase the count by 5,000 to 10,000 500,000 increase indication transition first leukemia cancer then bone deficiency next whole blood whole blood contains RB ABC, WBC, plasma and platelets.

[00:06:38]One unit of blood 350 ml 300 ml 50 ml anti-coagulant one unit of whole blood increase 1 g% of hemoglobin RBC storage time same as RBC 35 days infusion time also same as RBC 2 to 4 hours temperature for storage 1 to 6° blood hyped loss RBC RBC WBC platelet and plasma and plasma Next plasma font contain no platelet increase level of clotting factor.

[00:07:56]Plotting factor increase 200 to 250 ml. Temperature for preparing 80° centigrade. Temperature for storage 18° or colder. Transfusion time 30 to 60 minutes. 30 to 60 minutes increases coagulation factor about 2% factor transfuse active bleeding or hemorrhage thrombotic replacement therapy for coagulation factor 2, 5th, 7th, 9th, 10th and 11th.

[00:09:03]Second, second proth thrombin.

[00:09:07]Fifth row labile factor.

[00:09:13]Seventh row stable factor.

[00:09:20]Ninth row Christmas factor.

[00:09:26]Christmas factor. 10th row steward factor.

[00:09:35]And 11th row plasma thromboplastine.

[00:09:51]factor.

[00:09:56]Second, 5th, 7th, 9th, 10th and 11th.

[00:10:00][clears throat] Cryoprecipitated.

[00:10:02]Cryoprecipitated.

[00:10:04]Cry precipitated prepared from plasma and contains fibbrinogen one factor factor 8 and factor 13. Factorilic factor for 1 year one unit 10 to 15 ml administer over 15 to 30 minutes temperature for storage less than 30° centigrade cryopreed within 15 to 30 minutes temperatureopilia dic dic diseinated intravascular coagulation [snorts] and one well digit. Next types of blood donation blood.

[00:11:24]Auto means own donation of client own blood. Example, [snorts] it is a not option for patient with leukemia or bactermia.

[00:12:09]Second donor. Designated donor is the most commonest type.

[00:12:18]Compatible donor selected by recipient.

[00:12:22]Example family member patientus blood salvage.

[00:12:42]It is an autologus donation that involves suctioning blood from body cavities joint space or other closed body sides.

[00:12:56]Blood salvage.

[00:13:04]Blood body cavitage, joint space or other closed body. Blood may need to be washed. A special process that removes tissue debusion.

[00:13:28]Types of bloodons.

[00:13:33]Most important transfusion.

[00:13:43]The nurse should ask the patient about transfusion history.

[00:13:58]Second assess temperature.

[00:14:07]Next, a large volume of refrigerated blood infused rapidly through a CBP line can cause cardiac disarmia.

[00:14:18]to 15 ml.

[00:14:26]No solution other than normal saline should be added to blood components.

[00:14:31]Blood components except normal saline. Medication are never added to blood components. Blood components to avoid the risk of septicia infusion one unit should the prescribed time for administration. Always check the blood bag for the date of expire blood bag.

[00:15:07]Blood must be administered as soon as possible. If the blood is not administered within 20 to 30 minutes, return it to the blood bank within 20 to 30 minutes.

[00:15:36]Then appropriate sight of IV then large canula such as 18 G promote optimal flow of blood components. Blood transfusion canula size 18 go canula.

[00:15:52][snorts] Use of smaller canula such as 24 go may require blood bank to divide unit so that each half can be infused within allotted time or may require pressure assisted device.

[00:16:09]Old age patient. Old patula.

[00:16:39]24 hours 250 ml 250 ml RBC.

[00:16:54]Never inject medication into the same IV line with a blood component because of the risk of contamination.

[00:17:04]Blood transfusion medication administer a separate IB must be maintained if the patient require IB solution or medication patient at the same time I access refrigerate blood in refrigerator blood refrigerator Use blood warmer in case of large volume infusion to prevent disarmia. Next complication of blood transfusion. Blood transfusion allergic reaction. Allergic reaction immediately stopping condition.

[00:18:21]Then notify physician monitor vital signs for every 5 minute. Second feal reaction [snorts] treat overload. Circulatory overload.

[00:18:51]Transfusion associated.

[00:18:54]Transfusion associated.

[00:19:00]Circulatory overload.

[00:19:08]Circulatory overload.

[00:19:14]dry cough, edema, hypertension, chest pain and distended neck.

[00:19:27]Place the client position in administer oxygen diuretic morphine sulfatetomy treatment in severe cases. Next septic vomiting, diarrhea, hypotension and sock and obtain blood culture, administer oxygen, antibiotic, IV vessel pressure and corticosteroids. Next, iron overload. Iron overload delay transfusion complication. Iron delay transfusion complication occurs in client who receive multiple transfusion patient multiple transfusion overload.

[00:20:41]Iron overloading diarrhea and hypotension overload accumulated iron via Urine turn red. Each iron is excreted after administration of excess iron removep.

[00:21:34]Clinical features usually occurs within four to 6 week after the transfusion.

[00:21:38]Hepatitis C infection blood transfusion.

[00:21:44]Next hypothermia. Next complication electrolyte complication.

[00:21:50]Electrolyte complication. Hypercalemia and hypalmia.

[00:21:57]Hypalmia.

[00:21:59]Hypercalemia.

[00:22:03]Massive blood transfusion. Hypermia.

[00:22:07]complication bind with calcium bind with calcium and calcium hypoglycemia.

[00:22:33]Thank you everyone.