Class Lab 3: Blood Administration
Revised Spring 2013
1. Compare key features of the following blood products:
Product Composition/ Indications Potential
volume for Use Complications
PRBc *most commonly
Fresh Frozen Plasma
2. When will a physician typically order packed red blood cell
administration? (what H&H values)
By how much will a unit of PRBC’s increase the HGB and HCT?
3. What size IV catheter should be used to administer blood and why?
4. What are the steps to follow in order to safely administer blood or
5. What immediate action(s) should the nurse take if a transfusion
reaction is suspected?
6. Analyze the following acute reactions related to the transfusion of
packed red blood cells: addressing cause, symptoms, management,
a. Acute hemolytic reaction
b. Febrile reaction
c. Mild allergic reaction
d. Anaphylactic reaction
e. Circulatory overload
f. Iron overload
g. Transfusion related acute lung injury (TRALI)
7. What is the total time recommended hang time for the transfusion of
1 unit of PRBCs? (Consider variables such as age/condition)
What is a typical rate during and after the first 15 mins of transfusion
8. You enter the patient’s room with a unit of Packed RBC’s and
discover that the number on the patient’s blood arm band does not
match the number on the bag.
In order, list the actions you should take?
9. What is “autologous” blood and when is it used?