Blood Bank & Arterial Puncture Flashcards by SAM EMMANUEL FORMALEJO

Q

a blood bank must have how many days worth of blood?

A

3 days

sabi p ni sir ebe

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Q

in the event that a blood bank doesn’t have blood for 3 days’ worth, what will it initiate/do?

A

MBD - Mass Blood Donation

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Q

3 types of deferral

A

Permanent
Indefinite
Temporary

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Q

Identify donor type

donates blood of his/her freewill & receives no payment

A

voluntary non-renumerated donor

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Q

Identify donor type

person who gives replacement unit of blood only when a family member or friend requires transfusion

A

family/replacement donor

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Q

Identify donor type

provides blood for money or other form of payment

A

paid donor

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Q

Identify donor type

donates his/her blood to be stored and reinfused, if needed, during surgery

A

autologous donor

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Q

Process used to ensure that the potential donation is NOT harmful in any way to the DONOR and that the final product provides maximum benefit to the intended RECIPIENT.

A

Donor screening

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Q

Done to assess the suitability of an individual to be a blood donor so that it is safe for the donor and the products derived from donation are safe for the recipients

A

donor selection process

or donor selection lang

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Q

Done to assess the suitability of an individual to be a blood donor so that it is safe for the donor and the products derived from donation are safe for the recipients

A

donor selection process

or donor selection lang

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Q

done to confirm donor identity and link donor to existing donor records

also done to prevent an ineligible donor from donating again; to check for permanently deferred donors

A

donor registration

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Q

who improvised the Ph donor questionnaire and is inspired from where?

A

DOH from the FDA and AABB

FDA = food and drugs assoc; AABB = american assoc of blood banks

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Q

causative agent of CJD?

A

prions

prions are mutated proteins due to evolution

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Q

CJD stands for ____ and it otherwise known as ____ disease

A

Creutzfeldt-Jakob Disease; Mad cow disease

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Q

Identify if permanent or temporary deferral

px with hemophilia

A

permanent

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Q

Identify if permanent or temporary deferral

px with von willebrand disease

A

permanent

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Q

Identify if permanent or temporary deferral

px with sickle cell anemia

A

permanent

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Q

Identify if permanent or temporary deferral

px with thalassemia

A

permanent

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Q

Identify if permanent or temporary deferral

px with kaposi’s sarcoma

A

permanent

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Q

Identify if permanent or temporary deferral

px with polycythemia

A

permanent

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Q

Identify if permanent or temporary deferral

px with clotting factor deficiency

A

permanent

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Q

Identify if permanent or temporary deferral

px with history of cancer, leukemia, or lymphoma

A

permanent

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Q

Identify if permanent or temporary deferral

px with history of cardio, coronary, or rheumatic heart disease

A

permanent

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Q

Identify if permanent or temporary deferral

px who received a dura mater graft, human-derived pituitary growth hormone, and corneal transplant

A

permanent

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# Identify if permanent or temporary deferral px with babesiosis

permanent

# Identify if permanent or temporary deferral px with chaga's disease

permanent

# Identify if permanent or temporary deferral px with malaria

temporary

# Identify if permanent or temporary deferral px with HIV

permanent

# Identify if permanent or temporary deferral px with hepa b & c

permanent

# Identify if permanent or temporary deferral px with a positive test result for HBSAg

permanent

# Identify if permanent or temporary deferral px with a positive test result for anti-HBc

permanent

# Identify if permanent or temporary deferral px who completed treatment for malaria after 2 years and is asymptomatic

temporary ## Footnote 3 years deferral for malaria after treatment & is asymptomatic

# Identify if permanent or temporary deferral or accept 2nd year MT student who had a dormmate with Hepa B when she was in senior high

accept

# Identify if permanent or temporary deferral or accept polycythemia with continous sessions of therapeutic phlebotomy

permanent deferral

# Identify if permanent or temporary deferral or accept Beta-HCG positive donor

temporary deferral ## Footnote HCG = human chorionic gonadotropin; test for pregnancy; accept 6 weeks after giving birth

# Identify if permanent or temporary deferral or accept Hepatitis A previous infection

accept

# Identify if permanent or temporary deferral or accept 3 years following treatment of babesiosis and no symptoms

permanent deferral

# Identify if permanent or temporary deferral or accept had a flu shot last week

accept

# Identify if permanent or temporary deferral or accept poison ivy rash

accept

# Identify if permanent or temporary deferral or accept drop of blood sinks in copper sulfate solution

accept ## Footnote it means that blood specific gravity is greater than copper sulfate sol'n (1.053); indicating that HGB is greater than 12.5 g/dL

# Identify if permanent or temporary deferral or accept detained for 36 hours in city jail for alleged theft

accept ## Footnote not sure, pero 72 hours ata if temporary defer

# Identify if permanent or temporary deferral or accept male: had a one-time sexual contact with another man 6 mos. ago

temporary deferral ## Footnote should be 1 year from the time of sexual contact

# Identify if permanent or temporary deferral or accept px w/ syphilis

temporary deferral

# Identify if permanent or temporary deferral or accept px who had a tattoo printed last week

temporary deferral

# Identify if permanent or temporary deferral or accept px who had a normal measles (HAHAHAHAHAHA) vaccine 3 weeks ago

accept

# Identify if permanent or temporary deferral or accept px who had a vaccine for yellow fever exactly 2 weeks ago

accept

# Identify if permanent or temporary deferral or accept pulse rate is 85bpm

accept

what test is done for detection of hepatitis B surface antigen?

HBSAg

test that detects if you are previously infected by hepatitis or naur

anti-HBC

for how long should you be deferred if you have malaria?

3 years after treatment and being asymptomatic

how long should u be deferred if u have syphilis?

1 year after therapy completion

parasite causing babesiosis?

babesia microti

parasite causing chaga's disease

trypanosoma cruzi

causative agent of syphilis

treponema pallidum

how long deferral time if u are with sum1 with hepatitis

1 year deferral time after discontinuation of close contact

sexual contact deferral time?

1 year from the time of contact

sexual contact deferral time?

1 year from the time of contact

if u had tatts and piercings, how long should u be deferred b4 donating

1 year

if u had tatts and piercings, how long should u be deferred b4 donating

1 year

Rubeola vaccine deferral time

2 weeks after dose

Rubeola vaccine deferral time

2 weeks after dose

Rubella vaccine deferral time

4 weeks after dose ## Footnote Rubella = german measles; rubeola = ph measles lol

vax for varicella-zoster deferral time

4 weeks after dose ## Footnote varicella zoster = chickenpox

a donor's weight must be greater than?

110 lbs or 50kg

in the event that a donor doesn't meet the weight requirements, how much blood will he/she donate?

10.5 mL per kilogram

temp of donors must be? | `

less than 37.5^oC or 99.5^oF

pulse rate of donor should be?

between 50-100 bpm

BP of donor should be?

* less than or equal to 180 mmHg systolic pressure - less than or equal to 100 mmHg diastolic pressure

hemoglobin and hematocrit levels of donor should be?

greater than 12.5 g/dL; 38% to 41%

what do you call the withdrawing of specific blood component withdrawal?

apheresis

donors should be how many yrs old?

17-65

bloodborne disease characterized as acute and sometimes chronic infection of the bloodstream that is accompanied by fever, anemia, and splenogemaly; caused by plasmodium species

Malaria

disease that is sexually transmitted and is caused by Treponema pallidum and may be acute or chronic

syphilis

causative agent of AIDS from the Retroviridae family of viruses and mainly targets CD⁴⁺ lymphocytes (T cells), which become depleted over time leaving the body susceptible to opportunistic infections

HIV

bloodborne disease that is the most common type of bloodborne infection in a nosocomial setting; also characterized by jaundice and interference of liver functions

Hepa B

blood pressure cuff should be set to ____ during blood donation

40-60 mm Hg

the donor should have a squeeze ball squeezed every ____ seconds to facilitate blood flow

10-12 seconds

the blood bag should be mixed periodically ____ times per minute or every ____ seconds

1-2 times per minute or every 30-45 seconds

gauge of needle used in blood donations

16 to 18 | but 16 asa ppt hehe

gauge of needle used in blood donations

16 to 18 | but 16 asa ppt hehe

gauge of needle used in blood donations

16 to 18 | but 16 asa ppt hehe

at what angle should u insert the needle in donation?

20-degree angle

at what angle should u insert the needle in donation?

20-degree angle

length of needle in blood donations

1.5 inches

how much anticoagulant is present in a blood bag?

63 mL

how long does donation usually occur?

7-10 mins | 8-12

how much blood is withdrew in a blood donation? | laman ng blood bag*

450 mL | 450 mL +- 10% of blood (405 to 495 mL)

storage time of ACD-A

21 days

CPD storage time

21 days

CP2D storage time

21 days

CPDA-1 storage time

35 days

What additive is used for apheresis?

ACD-A

what additive is added to extend the storage time to 42 days?

Adsol | by baxter healthcare ## Footnote meron ding nutricel (pall corp) & optisol (terumo corp)

what chemical is responsible for chelating calcium, thus prevents clotting?

Citrate

what chemical in blood bags maintain pH during storage?

phosphate

this chemical acts as a substrate for ATP production? (aids in production of atp; nutrition too)

Dextrose

what chemical in blood bag is responsible for the production of ATP and extends shelf life from 21 to 35 days? seen in CPDA-1

Adenine

Additives allow for the harvesting of more plasma and platelets from the unit | true or false

True

Additive solutions produce a RBC concentrate of lower viscosity that is easier to infuse | true or false

True

a px is eligible to donate whole blood every?

8 weeks | 12 weeks sa ph

a px is elifible to donate platelets every?

2 weeks

a px is eligible to donate plasma every how many weeks

4 weeks

a px is eligible to donate automated RBCs every how many weeks?

16 weeks

# True or False A person who donates blood for a family member who requires transfusion is a volunteer donor

False

# True or False Donors who tested positive for anti-HBc can donate after 1 year of treatment

False

# True or False Donor screening ensures donation is not harmful to the recipient and provides maximum benefit for the donor

False

# True or False There is no age restriction in Allogeneic blood donation

False

# True or False Donor Registration is done to prevent permanently deferred donors to try to donate blood again

True

# True or False RA 7719 recognizes voluntary blood donation's importance in minimizing blood-transimissible diseases

True

# True or False Treponema pallidum, the agent that causes syphilis, is a virus

False

# True or False A 4-week temporary deferral is given to donors who have had a recent rubeola vaccine

False

# True or False Dorsalis pedis arteries are alternative sites for arterial puncture in infants

False

# True or False In the Modified Allen Test, a positive result is the hand flushing pink once the radial artery compression is released

False ## Footnote ang released ay si ulnar artery compression

# True or False Administering local anesthesia prior to arterial puncture is done by inserting the needle at a 10-degree angle

True

# True or False A typical blood bag system would have a 16 gauge nedle with a 1.5 inch shaft and usually contains 63 mL of anticoagulant

True

# True or False Platelet concentrates are stored at room temperature with continuous agitation

True

# True or False Phosphate present in blood bag additives is necessary to maintain pH during storage

True

# True or False Collateral circulation means that there are adjacent veins and nerves near the arterial site that may be mistakenly punctured during the arteiral collection

False

# Multiple choice Intermediate host of chaga's disease a. Kissing bug b. white-tailed deer tick c. none of the choices

a. kissing bug

# Multiple choice Largest artery used for arterial puncture a. basilic artery b. femoral artery c. radial artery

b. femoral artery ## Footnote but this artery has the poorest collateral circulation

# Multiple choice CJD may be transmitted through a. pituitary-derived Human Growth Hormone b. corneal transplant c. both

C. both

# Multiple choice Anticoagulant/additive used for apheresis components a. CPD-A1 b. ACD-A c. Adsol

b. ACD-A

# Multiple choice Benefits of additive solutions in blood bags a. more plasma can be harvested b. increases viscosity of RBC concentrate c. both of the choices

a. more plasma can be harvested

intermediate host of babesiosis

white-tailed deer tick

Medtech act?

5527

RT act

RA 10024

most preferred artery?

radial artery

most preferred artery?

radial artery

the needle in arterial puncture should be inserted at an angle of?

30-45 degrees

the anesthesia in arterial puncture should be inserted at an angle of?

10 degrees

the artery targeted wherein large samples of blood is needed

brachial artery

what test is done to check for collateral circulation in the radial artery?

modified allen test

in what artery is compression released in the modified allen test to check for positive results?

ulnar artery

a positive modified allen test indicated that a hand flushed pink within how many seconds?

15 seconds

alternative arteries used in infants for arterial puncture

1. scalp arteries 2. umbilical arteries

alternative arteries used in infants for arterial puncture

1. scalp arteries 2. umbilical arteries

alternative arteries for arterial puncture in adults

dorsalis pedis arteries