Blood Products & Collection Flashcards

(36 cards)

1
Q

Donor temperature and blood pressure requirement?

A

=< 37.5C (99.5F)
90-180/
50-100 mmHg

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2
Q

Minimum Hgb/Hct for donors (female, male, autologous)

A

12.5/38 female
13.0/39 male

11/33 autologous

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3
Q

Most common donation adverse reaction

A
  • # 1 Hematoma (9-16%)
  • # 2 Vasovagal/pre-faint (2-5%)
  • Others: <0.5%
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4
Q

Vaccines with 2 week deferral

A

MM Y Ty Po

Measles, mumps, yellow fever, typhoid, polio

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5
Q

Name 3 vaccines with 4 week deferral

A
  • Chickenpox/shingles (Varicella zoster),
  • German Measles
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6
Q

Hepatitis EXPOSURE deferral

A

12 months

Acute or chronic HepB, symptomatic HepC

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7
Q

3 permanent deferrals

A
  1. Confirmed positive HBsAg
  2. Family history CJD
  3. Allogeneic dura mater transplant
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8
Q

Deferral for Hepatitis B prophylactic vaccine

A

NO deferral!

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9
Q

Deferral for vCJD

A

Indefinite:
Travel to UK, France, Ireland 1980-1996, 1980-2001

Transfusion in UK, France, Ireland 1980-present

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10
Q

Length of deferral for donation of whole blood for Platelet (temporary drug deferral)

A

Aspirin- 2 days
Warfarin, heparin - 7 days

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11
Q

Maximum whole blood collection volume (ml/kg)

A

10.5 mL/kg

450+/-45ml or
500 +/- 50mL

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12
Q

Levels of 2,3 DPG in RbcS declines rapidly in storage, but is quickly replenished after transfusion in adults?
T or F

A

True

Takes longer for infants to replenish, thus fresh blood (5-7days) is requested

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13
Q

Successful Leokoreduction (residual wbc)

A

< 5.0x 10^6 and pH >6.2

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14
Q

Leukoreduced RBCS yield of RBCs

A

85% of original RbcS recovered in >=95% units tested

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15
Q

Acceptable leukoreduced (single) Platelet yield whole blood derived

A

5.5x10^10 platelets in 75% of units, <8.3x10^5 wbcs in 95%

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16
Q

Apheresis platelet yield (minimum)

A

3.0x10^11 platelets

17
Q

Granulocyte minimum yield

A

1.0x10^10 in 75% of units

18
Q

How much fibrinogen and factor 8 is contained in Cryoprecipitate

A

150mg fibrinogen
80IU coagulation factor 8 per unit

19
Q

Low yield platelet - Minimum platelet count (pheresis). ARC Variance

A

2.5 - 2.9x10^11
(must be labeled with approximate yield)

20
Q

To make 100ml of 2.5% saline from 12% saline:

V1 x C1 = V2 x C2

A

12x = 100*2.5
12x = 250

250/12 =20.83 ml
(21 ml of 12%)

Dilute to 100 ml (add 79ml DI-H20)

21
Q

Platelet CCI (corrected count increment)

A

(POST - PRE) * BSA / plts transfused

22
Q

Amount of H on cells (descending order)

A

O > A2 > B > A2B > A1 > A1B

23
Q

% of Anti-A1 present in
-A2(sub) and
-AsubB

A

A2 = 1-8%

A2B = 22-35%

24
Q

PAS - platelet additive solution/plasma ratio?

A

35% plasma, 65% PAS-C

Phosphate, Acetate, Saline -Citrate

25
Only FDA approved pathogen reduction technology
CERUS - INTERCEPT Inactivates: bacteria, viruses and lymphocytes
26
Platelet destruction disorders: do NOT transfuse playlets
ITP, TTP, HIT (heparin induced)
27
Platelet dosage
5k-10k per single/random platelet 50k-100k per pheresis
28
Product dosing ???
5-10ml/kg. - platelets 10-20 ml/kg - plasma
29
Chaga’s testing (T. Cruzi)
1x per donor
30
Babesia testing
Required only in endemic states (14)
31
Minimum weight to donate
110 lbs. 50 kg
32
Cryoprecipitate expiration (thawed)
6 hrs after thaw (single) 4 hours after pooling Keep at Room temp!
33
Irradiation parameters and indication
25-50Gy max at center 15Gy minimum Reduce TA-GVHD by inactivating lymphocytes
34
2 Methods for NAT testing? - DNA - HBV - RNA - HIV, HCV, WNV, Babesia
PCR - amplifies DNA TMA - amplifies RNA (no thermal cycler)
35
DOUBLE red donor criteria? 112 days between donations, maximum 3x per year
Male: age 17, 5’1”, 130lbs Female: age 19, 5’5”, 150 lbs
36
Required Infectious disease testing
HBV surface antigen HBcore HCV - EIA HCV - PCR HIV 1/2 - eia HIV 1/2 - PCR HTLV 1/2 - eia ???