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VET221-IV catheters/transfusions
Catheter maintenance and transfusions
54
Veterinary Medicine
Undergraduate 2
10/24/2009

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Cards

Term
True or false Catheters should be inspected daily for swelling, redness, pain, wetness, or discharge?
Definition
false, every few hours you need to look at the insertion site and also the leg proximally and distally to the insertion site.
Term
How long can you leave in a catheter before replacing it?
Definition
72 hours
Term
Name 2 frequent sites of IV catheter leaks.
Definition
injection caps and extention sets
Term
When should you flush a catheter?
Definition
If continuous fluids, every 8-12 hours- if not hooked to fluids, every 4-6 hours- before and after unhooking a patient- after injecting medication
Term
When should you turn the IV pump off or to standby when administering medication?
Definition
If administering multiple medications through a catheter
Term
How much hep/saline should you use to flush a catheter?
Definition
0.5-2ml
Term
_____ international units(IU) can be added to a fluid bag to make hep/saline flush.
Definition
5000
Term
A complex series of events involving vessels, platelets, coagulation factors, and the fibrinolytic system?
Definition
Hemostasis
Term
Platelets adhere to the injured area and form a complete but unstable plug in ____ hemostasis
Definition
primary
Term
Secondary hemostasis involves plasma _____ ______.
Definition
coagulation factors
Term
Another name for fibrinolysis is _____ ____.
Definition
tertiary hemostasis
Term
Name a few things to note when doing a patient history for a possible transfusion recipient.
Definition
diagnosed diseases, current medications, vaccination history, environmental factors, history of bleeding tendancy, and breed history
Term
Name 4 different types of bleeding if not caused by trauma that usually suggest platelet or vascular abnormalities.
Definition
petechia, ecchymoses, epistaxis, and hematuria
Term
Name three signs that suggest clotting factor dificiencies if there has been no trauma.
Definition
hematoma formation, hemarthroses, and deep muscle hemorrhage
Term
Lethargy, weakness, pale MM, tachycardia, tachypena, and bounding pulse are all signs of what?
Definition
anemia
Term
Name some ways to assess profusion.
Definition
MM color, CRT, heart rate, pulse rate, pulse rhythm, pulse strength, pulse volume, pulse character, and sychronicity of pulse with the heart rate
Term
Abnormal bleeding may occur with platelet counts below _____ /ul
Definition
40,000
Term
Dehydration=increase in ___ and _____ tests.
Definition
PCV and total plasma protein
Term
____ in PCV and total plasma protein are seen with acute blood loss or hemodilution
Definition
decreases
Term
Hemolytic anemias and nonregenerative anemias decrease ____ % alone.
Definition
PCV
Term
_-__ platelets should be seen per 100x field
Definition
8-12
Term
1 platelet per 100x field represents ____ platelets in circulation.
Definition
20,000
Term
___ blood types have been identified in dogs.
Definition
13
Term
A canine universal donor is DEA (Dog Erythrocyte Antigen) ___ negative, DEA ___ negative, and DEA ___ negative.
Definition
1.1, 1.2, and 7
Term
True or false a dog can safely be given a transfusion for the first time without cross matching.
Definition
True but only with the first transfusion after that they develop alloantibodies.
Term
Felines have __ different blood types.
Definition
3
Term
Nearly all domestic shorthairs have type __ blood and many purebreds have type ___.
Definition
A; B
Term
Type B cats have ____ anti-A alloantibodies and type A cats have ____ anti B alloantibodies
Definition
strong; weak
Term
True or false If a type A cat mates with a type B cat you will get all type AB kittens
Definition
False Type AB is extremely rare
Term
There is no universal donor in cats. The rare type AB cat can be transfused with type ___.
Definition
A
Term
It can be fatal is a type _ cat is transfused with type _ blood.
Definition
B; A
Term
What is neonatal isoerythrolysis?
Definition
A condition caused when a type B queen is impregnated with type A kittens by a type A tom. The antiodies in the colostrum destroy the RBCs in the kittens.
Term
Type _ RBCs will survive only minutes to hours if transfused into a type _ cat.
Definition
A; B
Term
Type _ RBCs have a half life of 2 days if transfused into a type _ cat.
Definition
B; A
Term
Requirements for canine blood donors
Definition
1. minimum 1 year 2. at least 25kg 3. healthy and current on vaccines, not on medication, good temperment, annually tested, hemocrit should be >40% and hemolobin should be >13.5g/dl, normal clotting factors
Term
Requirements for feline blood donors
Definition
100% indoor cat, large(at least 5kg), good natured, lean, young adult, current on vaccinations, annually tested, and hematocrit >35% and hemoglobin >11g/dl
Term
What is the most popular collection system in veterinary medicine?
Definition
Vacuum glass bottles containing ACD anticoagulant-preservative solution
Term
What does a crossmatch test tell us?
Definition
It is used to identiy antibodies in donor or recipient plama against the recipient or donor RBCs
Term
Major blood crossmatch tests detect alloantibodies in the ____ plasma against the _______ RBCs
Definition
recipient's; donor's
Term
Minor cross match tests detect alloantibodies in the _____ plasma against the _______ RBCs
Definition
donor's; recipient's
Term
Refrigerated blood can be warmed by allowing it to sit at room temperaure for ___ minutes
Definition
30
Term
Blood product should not be exposed to temperatures above _____
Definition
42C
Term
Infusing large amounts of cold blood can cause _____ and _______.
Definition
hypothermia; arrhythmias
Term
___ to ___ ml/kg=ml whole blood needed
Definition
10-20
Term
___-____ml/kg=ml pRBCs needed or ml FFP needed
Definition
6-10
Term
At what rate should blood be administered initially and for how long?
Definition
1 ml/kg for the first 15 minute
Term
Before infusion, what baseline values should be recorded?
Definition
attitude, temperature, pulse rate and quality, respiration rate and chracter, MM color, CRT, PCV, TPP, and plasma and urine color
Term
Monitor transfusion patient for the first couple of hours every ___ minutes. Patients should be monitered every __ minutes at the most.
Definition
10; 30
Term
___% of RBCs must survive for more than ___ hours for a transfusion to be considered successful.
Definition
75; 24
Term
Name some clinical signs of immune-mediated hemolytic reactions.
Definition
fever, tachycardia, weakness, tremors, vomiting, collapse, hemoglobinemia, and hemoglobinuria
Term
_________ transfusion reactions are the result of antibodies to WBCs, platelets, or plasma proteins
Definition
Non-hemolytic
Term
What are some factors associated with non-immune-mediated transfusion reactions?
Definition
Trauma to RBCs(misshandling in collection, storagewarming or infusing); bacterial pyrogens and sepsis(improper storage or collection)
Term
Common signs of non-immune-mediated reactions are:
Definition
tremors, arrythmias, and decreased cardiac output
Term
______ can occur in any type of transfusion reaction
Definition
vomiting
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