Moderate

Before starting a unit of packed red blood cells, which action is essential?

Correct answer: A. Verify the patient and blood details with a second trained nurse

  • A. Verify the patient and blood details with a second trained nurse
  • B. Warm the blood in a microwave for faster administration
  • C. Add medication to the blood bag before transfusion
  • D. Start the unit without checking the expiry time

Explanation

The patient identity, blood group, compatibility record, unit number and expiry must be checked according to hospital policy, commonly by two trained staff. Blood must not be microwaved or mixed with medication, and an expired unit must not be administered.

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About IV Fluids and Blood Transfusion

IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.

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