Washed red blood cells are generally prepared for patients with a history of severe allergic reaction to blood transfusion. Washed red blood cells are not generally required in patients with kidney disease, patient who are immunocompromised, or patients with metastatic disease. 

Before administration, plasma products must be checked for ABO compatibility and Rh compatibility.

ABO blood type does not have to be an exact match, but blood types must be compatible. An Rh positive individual, for example, is compatible with either Rh negative blood or positive blood, while an Rh negative individual is only compatible with Rh negative blood. 

The pulmonic valve can be auscultated to the left of the sternum at the second intercostal space. Auscultation at this space can aid in the identification of pulmonary murmurs such as pulmonary stenosis or regurgitation. The second right intercostal space is the location at which the nurse would be able to evaluate the aortic valve. The first intercostal space is not generally auscultated in a normal heart exam.

The fifth intercostal space on the left mid-clavicular line is the best location from which to evaluate the mitral valve. The other heart structures are paired with locations as follows:

• Aortic valve: the second intercostal space right of the sternum
• Pulmonic valve: the second intercostal space left of the sternum
• Tricuspid valve: the fourth intercostal space left of the sternum

A nurse should expect to see an approximately 3% increase in the recipient's hemoglobin 4-6 hours after the administration of one unit of packed red blood cells. 

Washed red blood cells are the product of blood that has been stripped of plasma, leukocytes, antibodies, cytokines, and platelets, in addition to any other blood proteins. 

Whenever possible, fresh frozen plasma should be transfused immediately (or as soon as possible) after thawing. However, if this is not possible, it may be refrigerated for as long as 24 hours after thawing.

A BMP is a commonly ordered lab value set on patients. It checks commonly reported electrolytes in the body. It is also known as a Chem-7. It looks at: Sodium, potassium, carbon dioxide, bicarbonate, blood urea nitrogen (BUN), creatinine, and glucose. Phosphorous is not included in this laboratory order, and must be checked separately.

A total cholesterol over  is considered a risk factor for cardiovascular disease. A total cholesterol level of  is considered moderate risk, while a total cholesterol of over 240 mg/dL is considered a high risk for cardiovascular disease. This patient's total cholesterol is , which would place her in the moderate risk category.

Common signs of transfusion reaction include urticaria, itching, or swelling, pallor or cyanosis, anxiety, and myalgia, tingling, or numbness, in addition to diaphoresis, tachycardia, headache, and gastrointestinal distress.