Lesson 4 Flashcards

1
Q

Caused by either RHO or ABO incompatibility

A

Hemolytic Disease of Newborn

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2
Q

There’s a problem in the Rhesus Factor

A

RHO Incompatibility

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3
Q

There’s a problem in the blood group

A

ABO Incompatibility

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4
Q

Mothers produce _____ to destroy the RBCS of fetus

A

Antibodies

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5
Q

Hemolysis results in ???

A

Fetal Anemia
Hyperbillirubinemia

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6
Q

Occurs when frtal red bloods which possess an antigen that the mother lacks

A

Hemolytic Disease

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7
Q

Crosses the placenta into maternal circulation, where they stimulate antibody production

A

Hemolytic Disease

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8
Q

The antibodies return to the fetal circulation and result in ________

A

RBC destruction

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9
Q

Called as the continue abortion; 3 or more pregnancy loss due to RH Incompatibility

A

Habitual Abortion

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10
Q

Differential Diagnosis of Hemolytic Anemis in Newborn Infant

A

Isoimmunizatiln
RBC enzyme disorder
Hemoglobin synthesis disorder
RBC membrane abnormalities
Hemangiomas
Acquired condition

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11
Q

Types of Isoimmunization

A

ABO Incompatibility
RH Incompatibility

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12
Q

Occurs when maternal blood type is O and fetus is blood type A, B, AB

A

ABO Incompatibility

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13
Q

Most common blood type

A

Type A

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14
Q

Most serious blood type

A

Type B

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15
Q

Rare blood type

A

Type AB

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16
Q

It destroys fetal RBCS

A

Maternal antibodies

17
Q

Generally less severe than RH disease

A

ABO Incompatibility

18
Q

Laboratory findings for ABO Incompatibility

A

Microspherocytosis
MCV <95, microcytic for newborn
Direct Coombs Test is often weakly +

19
Q

Blood prep for a mother with ABO Incompatibility

A

Type O Rh Negative packed RBCs

20
Q

ExTx means

A

Partial Exhange Transfusion

21
Q

Anticipate need for later ExTx for __________

A

Hyperbillirubinemia

22
Q

What should you give if a baby is preterm

A

Surfactant

23
Q

It used for immediate drainage of hydropic fluid

A

Catheters

24
Q

Assisted ventilation with oxygen. If ventilation is difficult, drain _________

A

Pleural and Ascitic Fluid

25
Q

In paracentesis, take care to avoid puncturing the

A

Enlarged lived abd spleen

26
Q

Insert _______ and _____, to immediately measure blood pressures, arterial ph, blood gas tensions, hematocrit, blood sugar

A

Umbilical arterial
Venous Catheter

27
Q

Essential for effective resuscitation

A

Correct anemia

28
Q

Do not infuse packed RBC or blood through __________ because of risk of damage to spinal cord from emboli

A

UAC

29
Q

Due to CA++ binding by citrate

A

Hypocalcemia

30
Q

It particularly after ExTx, due to dextrose load from anticoagulant of donor blood and hyperinsulinism in HDN

A

Hypoglycemia

31
Q

It occurs especially with older units of blood

A

Hyperkalemia

32
Q

Associated with inadequate warming of blood

A

Hypothermia

33
Q

A protein antigen present on the surface of some people’s RBC (Rh+)

A

RH (D) factor

34
Q

It is the exposure of Rh- blood to Rh+ blood resulting to production anti-Th abs

A

Rh Sensitization/ Rh isoimmunization

35
Q

Rh sensitization can occur through

A

Sensitization from previous pregnancy
Inadequate response to prophylaxis
Incompatible blood transfusion

36
Q

Rh Sensitization can occur thru:

A

Senstization from previous pregnancies
Inadequate response to prophylaxis
Incompatible blood transfusion

37
Q

Insignificant amount of antibodies are formed during pregnancy, thus ____ baby is not greatly affected

A

1st