Blood groups and transfusion medicine Flashcards

(57 cards)

1
Q

what blood groups can cats have

A

A
B
AB

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2
Q

What type of antibodies does type A feline blood carry

A

Naturally occurring weak anti-type B antibodies

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3
Q

What type of antibodies does type B feline blood carry

A

Naturally occurring very strong anti-type A antibodies

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4
Q

what cats must be blood typed prior to a transfusion

A

all cats- even in an emergency

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5
Q

What will giving type A blood to a type B cat result in

A

intravascular haemolysis of type A blood within seconds of transfusion
May be fatal

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6
Q

What will giving type B blood to a type A cat result in

A

extravascular haemolysis
PCV will fall to pre-transfusion levels within days

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7
Q

When does feline neonatal isoerythrolysis occur

A

Type A or AB kitten born from type B queen
Anti A antibodies transfer from colostrum while <24 hrs old

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8
Q

What type of antibodies does type AB feline blood carry

A

carries no antibodies against type A or B antigens

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9
Q

List the signs of feline neonatal isoerythrolysis in a kitten

A

Red/Brown urine
Jaundice
Anaemia
Sudden death

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10
Q

What blood type should the donor dog be if giving an untyped transfusion reaction

A

DEA 1 NEGATIVE

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11
Q

T/F Dogs do have pre-formed antibodies against non-self canine blood types

A

False

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12
Q

What patients should DEA 1 positive blood only be given to and why

A

DEA 1 positive patient
Prevent sensitizing a DEA 1 NEGATIVE dog to DEA 1 antigen
Reduce chance of delayed haemolytic reaction

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13
Q

What happens if DEA 1 POSITIVE blood is given to a sensitised DEA negative dog

A

acute haemolytic transfusion reaction (potentially fatal)

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14
Q

What does a major cross match detect

A

Assesses compatibility between donor red blood cells and patient plasma/serum

most important type of cross match

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15
Q

what does a minor cross match detect

A

Assesses compatibility between donor plasma/serum and patient RBCs.

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16
Q

When is cross matching required in dogs

A

if recipient has been previously transfused >4d prior
history of previous transfusion reaction
transfusion history unknown

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17
Q

List 4 indications for a blood transfusion

A

evidence of circulatory collapse
rapid drop in PCV to <20% in dog or <15% in cats
absolute PCV of <20%
signs of specific organ hypoxia

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18
Q

Within how many hours of collection must fresh whole blood be used

A

8 hrs

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19
Q

List 3 things that fresh whole blood contains that stored whole blood doesn’t

A

platelets
WBCs
Liable clotting factors

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20
Q

List 2 situations where whole blood is indicated for

A

acute blood loss
active bleeding

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21
Q

how long can packed red blood cells be stored in the fridge

A

42 days

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22
Q

What is the difference between fresh frozen plasma and frozen plasma

A

fresh frozen plasma froze within 24hrs of collection
liable and non-liable clotting factors (only non-liable in FP)
shelf life of 1 yr (FP shelf life= 5 years)

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23
Q

What patients are PRBCs indicated for

A

patients developing clinical signs of low tissue oxygenation due to anaemia

24
Q

what patients is FFP indicated for

A

patients with coagulopathies

25
what patients is FP indicated for
toxicities causing coagulopathies Haemophilia B
26
what can FFP be further processed into
Cryoprecipitate Cryosupernatant
27
what concentrated labile clotting factors does cryoprecipitate contain
Fibrinogen Factor 8 vWF
28
what does cryoprecipitate tend to be used for
pre-treatment for vWD deficiency
29
List the products that cryosupernatant contain
plasma proteins: albumin Vitamin K dependent clotting factors: II, VII, IX, X
30
List 4 advantages of autologus transfusion
reduces potential for exposure to allogenic blood reduced risk of new infectious diseases reduces chance of transfusion reactions immediate availability
31
List 7 donor criteria for dogs
Fit and healthy 1-8 yrs old >25kg never travelled abroad vaccinated good temperament not on any medication
32
what is performed before taking donor blood from a dog
full physical health check Haematology and biochemistry ( minimal PCV/TS) blood typing
33
how much blood is collected from canine donors
450mls
34
List 4 criteria for feline donors
healthy 1-8 yrs old >4kg lean BW preferably indoor cat?
35
what is performed before taking donor blood from a cat
full physical exam haematology and biochemistry (minimal PCV/TS) FeLV/FIV test if outdoor cat blood typing
36
what sedation is commonly used on feline donors
ketamine and midazolam combo
37
how much blood is collected from feline donors
11-13ml/kg
38
what is added to the blood in a 60ml syringe in feline blood donor harvesting
CPD (A)
39
How many mls/kg of whole blood to raise PCV by 1%
2ml
40
how many mls/kg of PRBCs to raise PCV by 1%
1ml
41
within how long of starting the transfusion should unit of blood or blood product be administered
4hrs
42
to what PCV should you transfuse to
25-30%
43
what does of plasma products should be given
20ml/kg
44
how often should patient parameters be checked when transfusing
every 5 ins for first 30 mins then every 15-30mins
45
what is the calculation to work out volume to transfuse
volume to transfuse = (target PCV – recipient PCV)/donor PCV x kg x N N= 90 for dogs N= 60 for cats
46
what is the definition of a transfusion reaction
any undesirable effect noted as a consequence of a blood product transfusion
47
What should transfusions not be administered down the same line as
any solutions containing Ca or glucose
48
What are the two types of immunological transfusion reaction
haemolytic and non-haemolytic
49
List 6 clinical signs that indicate a transfusion reaction
increase in temperature change in RR/HR change in MM colour Visible oedema GI signs
50
How should an acute (intravascular) haemolytic reaction be treated?
stop transfusion IV fluids +/- corticosteroids
51
How are transfusion reactions avoided?
Blood typing Cross matching Appropriate donor screening Correct collection, preperation, storage and administration of products
52
What is the general therapeutic plan for a transfusion reaction?
Stop transfusion Clinical exam Supportive treatment Check blood typing or cross matching Check bag for evidence of lysis
53
List the two types of haemolytic immunological transfusion reaction
acute and delayed
54
List the two types of non-haemolytic transfusion reactions
febrile and acute hypersensitivity
55
Describe febrile non-haemolytic transfusion reaction
acute platelet and WBC hypersensitivty
56
Describe acute hypersensitivity non-haemolytic transfusion reaction
anaphylactic
57
Describe non-immunological transfusion reactions
not mediated through immune mechanisms - circulatory overload, bacterial contamination, hypothermia, citrate toxicity, dilutional coagulopathy, disease transmission