Which practice is correct when administering packed red blood cells?

Correct answer: C. Use a separate line for incompatible medications

  • A. Add prescribed medication to the blood line
  • B. Use the blood line for a dextrose infusion
  • C. Use a separate line for incompatible medications
  • D. Mix the unit gently with antibiotics before use

Explanation

Packed red blood cells should run through a dedicated line, with medications administered separately because drugs may damage cells or cause incompatibility. Dextrose and medication mixtures can cause red-cell haemolysis or clotting in the tubing.

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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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