Blood Transfusion Flashcards

(38 cards)

1
Q

how many blood groups are there

A

4

  • A
  • B
  • A/B
  • O
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2
Q

what are the three main components of blood that can be transfused

A

FFP
Cryoprecipitate
platelets

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3
Q

how many units of FFP needs to be given per unit of blood

A

1 for 1

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4
Q

how long does FFP take to thaw

A

30 mins

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5
Q

what Lab tests to determine how much FFP should be used

A

prothrombin time

APTT

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6
Q

what Lab tests to determine how much cryoprecipitate should be used

A

fibrogen

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7
Q

what temp is platelets be kept at

A

Stored at ambient temp ~22oC, shelf life 5 days

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8
Q

what antigen is attached to A group

A

N-acetyl-galactosamine

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9
Q

what antigen is attached to B group

A

galactose

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10
Q

what antigen is attached to A/B group

A

both sugars are attached but no antibodies for the antigens

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11
Q

what is the most common blood group

A

O

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12
Q

what is the least common blood group

A

AB

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13
Q

what is the universal blood group?

A

O

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14
Q

what is the universal donor for FFP?

A

AB

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15
Q

are most people RhD positive or negative?

A

negative

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16
Q

what happens when RhD neg patients are exposed to RhD positive cells?

A

RhD negative individuals can make anti-D if exposed to RhD+ cells

17
Q

state some indictions for platelet transfusion?

A

massive haemorrhage
bone marrow failure
prophylaxis for surgery
cardiopulmonary bypass

18
Q

what is an apheresis donor?

A

the blood is collected by a machine, which separates the plasma, red cells and platelets and returns the red cells and/or platelets back to the donor
- only keeps the plasma

19
Q

what do RhD negative patients produce in reaction to RhD positive cells?

20
Q

give two examples of how a Rhesus -ve person could be exposed to rhesus +ve cells?

A

blood transfusion

pregnancy

21
Q

what can plasma be used to make?

A

Fresh frozen plasma
cryoprecipitate
imunoglobulins
albumin

22
Q

what temp are red cells keep at?

23
Q

what should the serum be screened for ?

A

allo-antibodies

24
Q

what blood should be given if very urgent?

A

O -ve red cells

AB plasma

25
what blood should be given if urgent?
type specific | - one test to check blood group
26
what blood should be given if non-urgent?
check type and any allo-antibodies
27
what does TACO stand for?
Transfusion-related circulatory overload
28
how is TACO treated?
slow the rate | give IV diurectics
29
what does TRALI stand for?
transfusion related acute lung injury
30
how is TRALI treated ?
O2, resp support, IV fluids
31
what does ATR stand for?
acute transfusion reaction
32
state symptoms of a minor reaction to blood?
Fever usually <380C, urticarial rash (raised itchy)
33
state symptoms of a major reaction to blood?
Fever, urticaria, respiratory distress, hypotension, tachycardia, oliguria, bleeding, collapse
34
what does HDN stand for?
haemolytic disease of the newborn
35
what rhesus is most immunogenic?
Rh D
36
what should Rh -ve pregnant women be given ?
anti D prophylaxis
37
what can be done for an anaemic foetus ?
intra uterine transfusion
38
what two investigations can be done to monitor HDN?
antibody titres | doppler US