3S [LEC]: Donor Screening Flashcards
(139 cards)
1
Q
In the Philippines what is the lower limit of age in blood donors?
A
16-17 y/o with parent consent
2
Q
T/F: In the Philippines, there is no upper age limit for blood donors anymore
A
True
3
Q
Type of deferral:
The donor cannot donate in a specified time frame
A
Temporary
4
Q
Type of deferral:
The donor cannot donate in an unspecified period of time
A
Indefinite
5
Q
Type of deferral:
The donor will never donate blood again
A
Permanent
6
Q
Identify the deferral for the donor:
History of dura mater graft
A
Permanent
7
Q
Identify the deferral for the donor:
History of transfusion of human derived pituitary growth hormone
A
Permanent
8
Q
Identify the deferral for the donor:
History of xenotransplantation
A
Permanent
9
Q
Identify the deferral for the donor:
Diagnosed with CID or vCJD
A
Permanent
10
Q
Identify the deferral for the donor:
Tested positive with HbsAg
A
Permanent
11
Q
Identify the deferral for the donor:
Diagnosed with hepatitis C
A
Permanent
12
Q
Identify the deferral for the donor:
Had viral hepatitis at age 11 or later
A
Permanent
13
Q
Identify the deferral for the donor:
Taking growth hormone from human pituitary glands
A
Permanent
14
Q
Identify the deferral for the donor:
Taking tegison for severe psoriasis
A
Permanent
15
Q
Identify the deferral for the donor:
Hemophilia
A
Indefinite
16
Q
Identify the deferral for the donor:
Von Willebrand disease
A
Indefinite
17
Q
Identify the deferral for the donor:
Sickle cell anemia
A
Indefinite
18
Q
Identify the deferral for the donor:
Thalassemia
A
Indefinite
19
Q
Identify the deferral for the donor:
Kaposi’s sarcoma
A
Indefinite
20
Q
Identify the deferral for the donor:
Chagas disease
A
Indefinite
21
Q
Identify the deferral for the donor:
Babeiosis
A
Indefinite
22
Q
Identify the deferral for the donor:
History of leukemia or lymphoma
A
Indefinite
23
Q
Identify the deferral for the donor:
Donors who tested positive for HIV/AIDS
A
Indefinite
24
Q
Identify the deferral for the donor:
Donors who tested positive for anti-HBc
A
Indefinite
25
Identify the deferral for the donor:
Donors who tested positive for HBV nucleic acid testing
Indefinite
26
Identify the deferral for the donor:
Malaria
3 years after becoming asymptomatic
27
Identify the deferral for the donor:
Travelled to an area where malaria is endemic
12 months
28
Identify the deferral for the donor:
Leishmaniasis
12 months
29
Identify the deferral for the donor:
Syphilis and gonorrhea
12 months
30
Identify the deferral for the donor:
Men having sex with other men
12 months
31
Identify the deferral for the donor:
Females having sex with MSM
12 months
32
Identify the deferral for the donor:
Sex with person who has acute or chronic hepatitis
12 months
33
Identify the deferral for the donor:
Sex with someone with HIV/AIDS
12 months
34
Identify the deferral for the donor:
Sex with prostitutes, drug-users, persons with hemophilia, or blood-related disorders
12 months
35
Identify the deferral for the donor:
Sex with persons who received factor concentrates
12 months
36
Identify the deferral for the donor:
Person living with hepatitis
12 months
37
Identify the deferral for the donor:
Receives insulin from cow (bovine insulin) to treat diabetes
Indefinite
38
Identify the deferral for the donor:
Juvenile detention, lockup, or imprisonment for more than 72 hours
12 months
39
Identify the deferral for the donor:
Accidental needle stick injury, tattooing, ear or body piercing, permanent make-up
12 months
40
Identify the deferral for the donor:
Blood transfusion, transplantation, grafting
12 months
41
Identify the deferral for the donor:
Measles vaccine
2 weeks
42
Identify the deferral for the donor:
Mumps vaccine
2 weeks
43
Identify the deferral for the donor:
Oral pollo vaccine
2 weeks
44
Identify the deferral for the donor:
Typhoid fever vaccine
2 weeks
45
Identify the deferral for the donor:
Yellow fever vaccine
2 weeks
46
Identify the deferral for the donor:
German measles (Rubella) vaccine
4 weeks
47
Identify the deferral for the donor:
Chicken pox vaccine
4 weeks
48
Identify the deferral for the donor:
Small pox vaccine
14-21 days
49
Identify the deferral for the donor:
Whole blood donation
8 weeks (48 hours if donors participated in apheresis)
50
Identify the deferral for the donor:
Plateletpheresis
No more than 24 in a calendar year; 2x in 7 days
51
Identify the deferral for the donor:
Plasmapheresis
4 weeks
52
Identify the deferral for the donor:
Double RBC apheresis
16 weeks
53
Identify the deferral for the donor:
Pregnancy
6 weeks after pregnancy
54
Identify the deferral for the donor:
Received transfusion during pregnancy
12 months
55
Identify the deferral for the donor:
Abortion or miscarriage during the 1st and 2nd trimester
No deferment
56
Identify the deferral for the donor:
Feldene, a nonsteroidal anti-inflammatory for arthritis that affects platelet function
2 days
57
Identify the deferral for the donor:
Aspirin-containing drugs (Piroxican)
3 days (72 hours)
58
Identify the deferral for the donor:
Plavix (clopidogrel) and Ticlid (ticlopidine) for heart attack and stroke
14 days (2 weeks)
59
Identify the deferral for the donor:
Proscar (prostate gland enlargement)
1 month
60
Identify the deferral for the donor:
Accutane
1 month
61
Identify the deferral for the donor:
Propecia (baldness treatment)
1 month
62
Identify the deferral for the donor:
Avodart (prostate gland enlargement)
6 months
63
Identify the deferral for the donor:
Hepatitis B immune globulin
12 months
64
Identify the deferral for the donor:
Experimental medication or unlicensed vaccine
12 months
65
Identify the deferral for the donor:
Soriatane for severe psoriasis
3 years
66
Required blood pressure for blood donors
Systolic:
67
Required pulse rate for blood donors
50-100 bpm
68
Required hemoglobin level for blood donors
Male: >/= 13.0 g/dL
Female: >/= 12.0 g/dL
69
Required hematocrit for blood donors
>/= 38%
70
Required hemoglobin level for autologous blood donors
>/= 11.0 g/dL
71
Required hematocrit for autologous blood donors
>/= 33.0%
72
The donor is deferred for platelet pheresis if there is intake of aspirin in the past ___
3 days
73
Required weight in autologous blood donation
No limit
74
Required weight in allogeneic blood donation
50 kgs/ 110 lbs
75
The maximum blood to be collected is ___ mL per kilogram of donor weight
10.5 mL
76
T/F: In autologous donations, there is generally no need for crossmatching and screening tests
True
77
Identify the autologous donation method:
Occurs during 5-6 weeks immediately preceding a scheduled elective surgical procedure unless the red cells and plasma are scheduled to be frozen
Preoperative
78
In preoperative collection, last blood donation should occur no later than ___ hours before surgery
72 hours
79
Minimum hct and hgb requirement for preoperative collection
33%, 11 g/dL
80
T/F: In preoperative collection, antibody screening is optional
True
81
Identify the autologous donation method:
Collection of whole blood with the concurrent infusion of crystalloid or colloid solutions thus maintaining a normal volume but decreasing the patient's hematocrit
Acute normovolemic hemodilution
82
Ratio of blood to crystalloid in acute normovolemic hemodilution
3:1
83
Ratio of blood to colloid in acute normovolemic hemodilution
1:1
84
Limited hemodilution will reduce the hematocrit to ___ and severe dilution will reach ___ or less
28%
21%
85
Identify the autologous donation method:
The procedure is performed in surgery immediately prior to beginning the surgical procedure and managed by anesthesiology
Acute normovolemic hemodilution
86
Identify the autologous donation method:
Blood units are reinfused in the reverse order of collection; the unit does not leave the operating room
Acute normovolemic hemodilution
87
Acute normovolemic hemodilution units can be stored for up to ___ hours in a monitored blood bank refrigerator
24 hours
88
Identify the autologous donation method:
Collecting shed blood from the surgical site
Intraoperative collection
89
Identify the autologous donation method:
Collected from a drainage tube placed at the surgical site
Postoperative blood salvage
90
It is recommended that no more than ___ mL of postoperative blood salvage unit be reinfused
1400 mL
91
The most commonly used drug for collecting large volume of leukocytes
Hydroxyethyl starch (HES)
92
Newest agents to be used for increasing the yield of granulocytes
Growth factors
93
If leukapheresis product is contaminated by more than ___ mL of RBCs, it should be crossmatched
2 mL
94
T/F: In plasmapheresis, crossmatching is not necessary
True
95
Antiseptics usually used in blood donation
Chlorhexidine gluconate
Isopropyl alcohol
96
In blood donation, puncture site should have been scrubbed at least ___ cm in all direction for a minimum of ___ seconds
4 cm
30 seconds
97
Identify the deferral for the donor:
Zika infection
4 weeks
98
Conducts inspections of all clinical laboratory departments, including transfusion services, awarding accreditation
College of American Pathologists (CAP)
99
T/F: Blood is regarded both as a biologic and a drug by the FDA
True
100
Established and provides the highest standard of care for patients and donors in all aspects of transfusion medicine
Association for the Advancement of Blood & Biotherapies (AABB)
101
Responsible for the voluntary inspection and accreditation program for its member institutions that meet the requirement of CMS and CLIA
Association for the Advancement of Blood & Biotherapies (AABB)
102
NRL for blood banking in the Philippines
RITM
103
Identify the deferral for the donor:
Tetracycline or other antibiotics for acne
No deferral
104
T/F: In donors taking aspirin, there is no restriction for whole blood donation but the blood unit should not be used as a sole source of platelet
True
105
Infrequent plasma donors are deferred for how long?
4 weeks
106
Double RBC apheresis donors are deferred for how long?
16 weeks
107
Identify the deferral for the donor:
Toxoids or killed or synthetic viral, bacterial, rickettsial vaccines
No deferral (if the donor is symptom-free and afebrile)
108
Identify the deferral for the donor:
Persons who've had sex with any person with hemophilia or related blood disorder who received factor concentrate
12 months
109
A condition that causes progressive dementia and spongiform alterations in the brain and is rapidly fatal
Creutzfelt-Jakob disease
110
Identify the deferral for the donor:
History of exposure or history of possible exposure to prion diseases
Permanent
111
Identify the deferral for the donor:
Received blood transfusion in the UK or France since 1980
Indefinite
112
Identify the deferral for the donor:
Positive HBV NAT
Indefinite
113
Which blood-transmitted virus is prevalent in Africa, which makes travelling to the country a cause for indefinite deferral?
HIV-1 group O
114
Which skin lesion is not a cause for deferral?
Poison ivy (as long as it is not present in the area of venipuncture site)
115
Which is the greatest advantage of autologous donations?
i. Decreased risk of disease transmission
ii. Decreased cost
iii. Useful for patients with rare blood types
iv. Less donors required
iii
116
In autologous blood donation, ABO and Rh must be reconfirmed while crossmatching is optional. However, in a clinical setting, which phase in crossmatching is done as a good safety check?
i. IS
ii. Thermo
iii. AHG
i
117
If acute normovolemic hemodilution units leave the OR and stored, they must be labeled as ___ units
i. Preoperative collection
ii. Acute normovolemic hemodilution
iii. Intraoperative collection
iv. Postoperative collection
i
118
Autologous donation that may be done in emergency cases where there is no blood unit available
i. Preoperative collection
ii. Acute normovolemic hemodilution
iii. Intraoperative collection
iv. Postoperative collection
iii
119
Autologous donation that can serve as an alternative when the patient cannot do multiple preoperative autologous collection
i. Preoperative collection
ii. Acute normovolemic hemodilution
iii. Intraoperative collection
iv. Postoperative collection
iii
120
Autologous intraoperative collection units should be stored at what temperature and for how long?
1-6C, 24hrs
121
Postoperative blood salvage units must be reinfused within ___ of collection or else they must be discarded
6 hours
122
Autologous donation that is reinfused with or without processing via microaggregate filters to screen out any debris
i. Preoperative collection
ii. Acute normovolemic hemodilution
iii. Intraoperative collection
iv. Postoperative collection
iv
123
Autologous donation that can be used in conjunction with other autologous blood collection procedures to avoid the need for allogeneic blood transfusions
i. Preoperative collection
ii. Acute normovolemic hemodilution
iii. Intraoperative collection
iv. Postoperative collection
iv
124
Autologous donation that carries a risk for febrile nonhemolytic transfusion reactions
i. Preoperative collection
ii. Acute normovolemic hemodilution
iii. Intraoperative collection
iv. Postoperative collection
iv
125
One of the disadvantages of this autologous collection method is that is may not yield a large volume of blood enough for patient needs
i. Preoperative collection
ii. Acute normovolemic hemodilution
iii. Intraoperative collection
iv. Postoperative collection
iv
126
A type of blood donation where the tag is a distinct color from autologous tags
Directed donation
127
First product to be collected by apheresis
Plasmapheresis
128
The only effective method for collecting leukocytes/ granulocytes
Leukapheresis
129
Typical therapeutic dose of granulocytes
1x10^10/ day for 5 consecutive days
130
In leukapheresis, this drug is given prior to the collection procedure that increases the yield of granulocyte
Corticosteroids (prednisone or dexamethasone)
131
Sedimenting agent that is used for leukapheresis that is quite well-tolerated and can produce 4-8x the volume of cells in each collection
Growth factors
132
During blood collection, the hand of the donor is asked to be closed and opened for every ___
10-12 seconds
133
During blood collection, if the volume collected is in the low volume range, the unit must be labeled as ___
Low volume unit
134
Low volume units cannot produce which specific blood component?
Fresh frozen plasma
135
During blood collection, before the needle is removed from the donor's arm, pilot tubes are filled using how much pressure?
20 mmHg
136
Moderate donor reactions increased a decreased pulse rate and a fall in the blood pressure, specifically a systolic of ___
60 mmHg
137
If hematoma starts to form after blood collection, pressure is applied with sterile gauze for how long?
7-10 mins
138
Donor records are usually stored for how long?
5-10 years (to indefinite retention)
139
Identify the deferral for the donor:
Positive RIBA for Hepatitis C virus
Indefinite
