Medical Surgical Critical Care Blood Administration #4

Question

A client is admitted to the intensive care unit with thrombocytopenia. The client’s platelet count is 120,000 μl. The health care provider ordered 5 bags of platelets to be infused on this client. How long should the nurse infuse each bag of platelets?

Answers

  1. 5 to 10 minutes.
    • Rationale:

      This answer is not correct because infusing platelets over 5 to 10 minutes is way too fast and the client is more prone to infusion reactions.

  2. 10 to 20 minutes.
    • Rationale:

      This answer is not correct because infusing platelets over 10 to 20 minutes is way too fast and the client is more prone to infusion reactions.

  3. 20 to 30 minutes.
    • Rationale:

      This answer is not correct because infusing platelets over 20 to 30 minutes is way too fast and the client is more prone to infusion reactions.

  4. 30 to 60 minutes.
    • Rationale:

      This answer is correct because infusing platelets over 30 to 60 minutes is the recommended time to keep clients from having an infusion reaction.

Overview

Thrombocytopenia means that a client’s platelet count is less than 150,000 platelets per microliter. Thrombocytopenia may be the result of disorders of bone marrow, problems with the immune system, leukemia, or could result from side effects of specific medications.

Explanation

Learning Outcomes

Thrombocytopenia means that a client’s platelet count is less than 150,000 platelets per microliter. A normal client’s platelet count varies from 150,000 to 450,000 per microliter. Platelets are responsible to stop bleeding by forming clumps or plugs during blood vessel insults. Platelets are usually infused between 30 to 60 minutes. With each unit of platelets, the client’s platelet count may be increased about 6000 μl.

Test Taking Tip

Know what thrombocytopenia is and the treatment for it.

Video Rationale