MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse cares for a client with a coagulation factor deficiency who is actively bleeding. Which blood component replacement does the nurse anticipate administering?
A
PRBCs
B
IV gamma-globulin
C
FFP
D
Antithrombin III
Explanation: 

Detailed explanation-1: -Fresh frozen plasma is indicated for the deficiency of coagulation factors with abnormal coagulation tests in the presence of active bleeding.

Detailed explanation-2: -In an emergency, where pre-thawed FFP is not available, it is important to factor the thawing time of FFP into the availability of the component (usually 20-30 minutes). The typical administration rate is 10-20mL/kg/hr, but this may vary depending on the patient’s condition.

Detailed explanation-3: -FFP must be thawed between 30 °C and 37 °C in a water bath under continuous agitation or with another system able to ensure a controlled temperature. The plasma must be transfused as soon as possible after thawing, but in any case within 24 hours, if stored at 4 ± 2 °C 4, 5.

Detailed explanation-4: -Whenever blood or a blood product is being administered, the nurse must closely monitor the client for the signs and symptoms of a possible complication. The first thing that the nurse must do when a reaction or a complication is possible is to discontinue the administration of the blood or blood product.

Detailed explanation-5: -Obtaining the client’s vital signs provides a baseline and should be done before the transfusion is initiated.

There is 1 question to complete.