Question

Patient care that supports transfusion-free medicine includes which of the following?

Appropriate cross-matching
Consideration of culture
Allowing for the transfusion of red blood cells
Provider directives

Answer 1

Patient care that supports transfusion-free medicine includes appropriate cross-matching, consideration of cultural beliefs, and following provider directives to minimize the need for transfusions. Transfusion of red blood cells is not part of this practice.

Step-by-step explanation:

The question relates to patient care that supports transfusion-free medicine, which includes methods to manage and treat patients without the use of blood transfusions. Such care involves a variety of strategies:

• Appropriate cross-matching: Ensuring blood types are compatible to avoid immune reactions.
• Consideration of culture: Respecting cultural or personal beliefs that may lead to a refusal of blood transfusions.
• Allowing for the transfusion of red blood cells: This point is not applicable to transfusion-free medicine as the approach aims to avoid transfusions.
• Provider directives: Following protocols that minimize the need for transfusions and maximize patient safety.

Practices such as using blood substitutes, optimizing preoperative hemoglobin levels, and minimizing blood loss through meticulous surgical techniques all contribute to the transfusion-free approach.

Answer 2

Transfusion-free medicine includes appropriate cross-matching to ensure donated blood compatibility and consideration of a patient's culture or religious beliefs which may influence their care preferences. The correct answer of choices are Consideration of culture and Allowing for the transfusion of red blood cells

Step-by-step explanation:

Patient care that supports transfusion-free medicine includes appropriate cross-matching and consideration of culture. Transfusion-free medicine typically refers to practices that seek to minimize or avoid the use of blood transfusions altogether. This may be due to the patient's personal or religious beliefs, such as those of Jehovah's Witnesses, who generally refuse blood transfusions.

Appropriate cross-matching is critical when a transfusion is necessary, as it ensures that the donated blood is compatible with the recipient to prevent serious reactions such as hemolytic transfusion reaction (HTR). Consideration of culture is essential because it acknowledges and respects the patient's cultural or religious beliefs which might dictate transfusion-free care.