Lab 2 - Blood Products/CVAD

Question 1

What are some signs of allergic reactions?

Answer 1

Swell, hives, itch, sweat, chills, h/a, wheeze, SOB

Question 2

What to do if there is an allergic reactions?

Answer 2

Stop Transfusion
Maintain a patent IV Catheter

Question 3

What to do if there a hypovolemic reaction?

Answer 3

Finding crackles and distended neck veins
Slow transfusion
Raise head of the bed
Notify HCP

Question 4

What are some irregularities in a PRBC bag?

Answer 4

Bag leaks
clots
gas bubbles
purplish
object
precipitate

Question 5

[Troubleshooting VAD]
How to tell it there is an Occlusions?

Answer 5

Blood return
Discomfort
Swelling in shoulder

Question 6

[Troubleshooting VAD]
How to tell there is a Dislodgement?

Answer 6

Change in length
coiling under skin
neck vein distension

Question 7

[Troubleshooting VAD]
How to tell there is Migration?

Answer 7

Gurgling
pain when flush
Edema in arms

Question 8

[Troubleshooting VAD]
How to tell there is Skin Erosion?

Answer 8

drainage
red
edema
bruising

Question 9

[Troubleshooting VAD]
What is life threatening? And what it looks like (8)

Answer 9

• Air embolus (bubble wrap sound)

Chest pain, dyspnea, apnea, decreased O2, Increased HR, increased BP, nausea, confusion

Question 10

[Troubleshooting VAD]
What the complications following incorrect placement?

Answer 10

Cardiac Dys
Increased BP
JVD
narrow pulse pressure
retrograde blood flow

Question 11

[Troubleshooting VAD]
How often should we check and what to check for (5)?

Answer 11

• Check 1-2hrs
  Comfort Level
  v/s
  mental status
  electrolytes
  I/o