Donor Selection and Screening Flashcards
(41 cards)
The blood donation screening process ensures that donating approximately _____ mL of whole blood will not harm the donor.
450
A _____ deferral means the donor cannot give blood for a set period, such as 12 months after a blood transfusion.
An _____ deferral applies when a donor is ineligible for an unknown duration due to current regulations.
A _____ deferral means the donor will never be eligible to donate for others (but may still donate for themselves).
temporary
indefinite
permanent
Donors currently taking antibiotics for an infection should be deferred until _____ or until the infection resolves.
While most antibiotics require deferral, donors who took _____ (e.g., tetracyclines) may still be eligible for donation.
All medications taken by a donor must be reviewed and approved by the _____ or blood bank medical director.
completion of the prescribed regimen
tetracyclines (or certain antibiotics)
blood collection facility
Avodart, used for prostate gland enlargement, has a deferral period of _____ due to its teratogenic effects.
Proscar, prescribed for baldness, requires a deferral period of _____.
Propecia, used to treat severe acne, has _____ deferral period specified in the table.
Accutane, indicated for severe psoriasis, has a deferral period of _____.
Soriatane, also used for severe psoriasis, results in a _____ deferral.
All of these drugs are _____.
6 months (from last dose)
1 month (from last dose)
no (or not listed)
3 years (from last dose)
permanent
Teratogenic
Growth hormone (human pituitary) used for children with impaired growth requires a _____ deferral due to risk of _____.
Bovine insulin prescribed for type 1 DM carries an _____ deferral because of concerns about _____.
HBIg given after Hepatitis B exposure has a deferral period of _____ because it _____.
Clopidogrel, which reduces risk of AMI or CVA, requires a _____ deferral as it _____.
Feldene, an anti-inflammatory drug, has a _____ deferral for platelet donations because _____.
Experimental medications or unlicensed vaccines require deferral for _____ or _____.
permanent, Creutzfeldt-Jakob Disease
indefinite, Mad Cow Disease
12 months, may not completely protect donor from HBV
14 days (after last dose), inhibits platelet function
2 days, (reason not specified in table)
1 year, upon the discretion of the medical director
Donors are asked if they have taken aspirin or aspirin-containing medications within the past _____ hours.
Aspirin use within _____ days prior to donation makes a donor unsuitable for _____ donation.
There is _____ deferral restriction for donors who took aspirin when donating _____ blood.
48
3, platelet pheresis
no, whole
Female donors are asked if they have been pregnant in the past _____ weeks or are currently pregnant.
Following pregnancy termination, donors should be deferred for _____ weeks.
First or second trimester _____ is not a cause for deferral.
_____ blood donation is permitted as an exception to pregnancy deferral rules.
If a donor received a blood transfusion during pregnancy, the deferral period extends to _____ months.
6
6
abortion/miscarriage (accept either)
Autologous
12
Donors are asked if they have donated blood, platelets, or plasma in the past _____ weeks.
For a double unit of red cells donated via apheresis machine, the deferral period is _____ weeks.
The standard waiting period between whole blood donations is _____ weeks (_____ days).
After an apheresis donation, a donor must wait _____ hours before giving whole blood.
For infrequent plasma apheresis donations, the required interval is _____ weeks.
8
16
8, 56
48
4
Donors are asked if they’ve had any vaccinations in the past _____ weeks.
A _____ week deferral applies after receiving live attenuated or bacterial vaccines like rubella or typhoid.
For live attenuated rubella or chickenpox vaccines, the deferral period is _____ weeks.
After smallpox vaccination, donors must wait _____ days or until _____.
There is no deferral required for _____ vaccines (toxoids, killed/synthetic viral/bacterial/rickettsial).
Donors are also asked about contact with someone who had a _____ vaccination.
8
2
4
14-21, the scab has fallen off
non-live (or “inactivated”)
smallpox
Donors are asked if they’ve had a blood transfusion, transplant, or graft in the past _____ months.
A _____ month deferral applies after receiving someone else’s blood through transfusion.
Donors are deferred for _____ months after getting a tattoo or body piercing.
The same _____ month deferral period applies for accidental needle-stick injuries.
Contact with someone else’s blood results in a _____ month deferral period.
12
12
12
12
12
Donors are asked if they’ve had sexual contact with an HIV-positive person or someone with AIDS in the past _____ months.
A _____ month deferral applies after sexual contact with a sex worker or someone who exchanges sex for payment.
The deferral period begins from the _____ of sexual contact in high-risk situations.
Both scenarios involving contact with HIV-positive individuals and _____ workers carry the same deferral period.
The standard deferral duration for these high-risk sexual contacts is _____ months.
12
12
time (or “date”)
sex (or “prostitute”)
12
Donors are deferred for _____ months after sexual contact with someone who has used non-prescribed _____ drugs.
A _____ month deferral applies after sexual contact with a person who has _____ or uses clotting factor concentrates.
Female donors are asked if they’ve had sexual contact with a male who has ever had _____ with another male.
All these deferrals are calculated from the _____ of sexual contact.
The standard deferral period for these high-risk sexual behaviors is _____ months.
12, injection (or “needle-injected”)
12, hemophilia
sexual contact
time (or “date”)
12
Donors are deferred for _____ months after sexual contact with a person who has _____.
The same _____ month deferral applies after discontinuing _____ with a hepatitis-positive person.
“Living with” is defined as residing in the same _____ place.
These deferral rules apply for Hepatitis B, symptomatic Hepatitis C, and other _____ viruses.
The questionnaire asks about both sexual contact and _____ with hepatitis-positive individuals in the past 12 months.
12, hepatitis
12, close contact/living (accept either)
dwelling
hepatitis
living
Donors are asked if they’ve been treated for _____ or _____ in the past 12 months.
After completing treatment for syphilis, donors are deferred for _____ months.
The bacterium _____ _____ (syphilis pathogen) can survive in blood storage conditions.
The syphilis-causing organism thrives particularly well at _____ temperature.
For gonorrhea treatment, the deferral period is _____ months after therapy completion.
syphilis, gonorrhea
12 (Note: The original text shows “212” which appears to be a typo - likely should be 12 months based on the question)
Treponema pallidum
room
12 (assuming same deferral as syphilis)
Donors are asked if they’ve been outside the US or Canada in the past _____ years.
For malaria risk, there is a _____ year deferral after leaving an endemic area if the donor is asymptomatic.
Immigrants or long-term residents (_____+ consecutive years) from malaria-endemic areas face a _____ year deferral.
The extended _____ year deferral applies even if the donor shows no _____ of malaria.
These deferral rules apply specifically to _____ prevention in the blood supply.
3
1
5, 3
3, signs & symptoms (or “symptoms”)
malaria
Donors who have ever received money, drugs, or payment for sex receive a _____ deferral.
Male donors who have had sexual contact with another male, even once, face an _____ deferral.
Donors with a history of using non-prescribed _____ drugs receive permanent deferral.
Those who have had hepatitis are _____ deferred from blood donation.
Donors who used clotting factor concentrates may be deferred for _____ months unless approved by the _____.
After malaria treatment, donors must wait _____ years and be _____ before donating.
permanent
indefinite
injection (or “needle-injected”)
permanently
12, medical director
3, symptom-free
Donors with a history of Chaga’s disease or babesiosis receive an _____ deferral.
Those who received a _____ graft are permanently deferred due to Creutzfeldt-Jakob disease risk.
Cancer survivors (including leukemia) may be deferred depending on _____.
Donors with _____ conditions or blood diseases are typically deferred.
Travel to Africa or sexual contact with someone from Africa may result in deferral due to _____ risk.
Heart or lung problems require deferral unless cleared by the donor’s _____.
A family history of _____ disease results in permanent deferral.
indefinite
dura mater
cancer type/treatment (context suggests case-by-case evaluation)
bleeding
malaria (or other tropical diseases)
physician
Creutzfeld-Jakob
During the general appearance check, staff should observe for signs of excessive _____, drug influence, or _____ influence.
The maximum blood volume collected should not exceed _____ mL per kg of body weight, including test tubes.
Donors must have a temperature below _____°C and should avoid _____ beverages before donation.
The acceptable pulse range is _____ to _____ bpm, with exceptions made for _____ donors.
Blood pressure must be below _____ mmHg to qualify for donation.
For allogeneic donations, hemoglobin must be ≥_____ g/dL or hematocrit ≥_____%.
Evidence of multiple _____ marks on the arm results in indefinite deferral, while most _____ disorders don’t cause deferral.
anxiety, alcohol
10.5
37.5, hot (or “coffee”)
50, 100, athletic
180/100
12.5, 38
puncture, skin
The formula to calculate blood volume to collect is:
The reduced volume of anticoagulant (AC) is calculated by:
The amount of AC to be removed equals _____ mL minus the _____.
In the first formula, the standard blood collection volume (450 mL) is divided by the constant _____.
The second formula uses the constant _____ mL, which represents the standard AC volume.
kg, 50, 450
volume to collect, 63
63, reduced volume of AC
50
63
Volume to collect formula:
Reduced volume of AC formula:
Amount of AC to be removed formula:
(Donors weight in kg / 50) x 450
(Volume to collect / 450) x 63
63 mL - reduced volume of AC
_____ consent must be obtained from allogeneic, autologous, and apheresis donors before donation.
Donors must be informed about the _____ of the donation procedure.
The consent process must include information about _____ performed to reduce disease transmission risks.
This requirement applies to three types of donations: allogeneic, autologous, and _____.
The primary purpose of informed consent is to protect both the _____ and the _____.
Informed
risks
tests
apheresis
donor, recipient(s) (order doesn’t matter)
Autologous donation refers to when a patient donates blood for their _____ use.
This type of donation is considered _____ than allogeneic donation.
It is particularly beneficial for patients with _____ blood phenotypes or multiple _____.
The four types of autologous donation are: preoperative collection, _____, intraoperative collection, and _____.
The full term for ANH (one autologous donation type) is _____ _____ hemodilution.
own
safer
rare, antibodies
acute normovolemic hemodilution, post-operative collection
acute normovolemic
Pre-operative autologous donations typically begin _____ weeks before the scheduled procedure.
This type of donation is commonly used for patients undergoing _____ procedures, vascular surgery, or radical prostatectomy.
The final donation must occur no more than _____ hours before the surgery.
Before collection, the patient’s _____ and _____ must be determined.
The _____ unit collected should be the _____ unit transfused (following the “first out, first in” principle).
Two obstetric indications for pre-operative autologous donation are _____ and intrapartum hemorrhage.
5-6
orthopedic
72
ABO, Rh (order doesn’t matter)
oldest, first
placenta previa
ANH involves removal of _____ blood with simultaneous infusion of replacement fluids.
The replacement fluid ratio is _____ for colloids or _____ for crystalloids.
Collected blood must be reinfused within _____ hours to preserve platelet and coagulation factor viability.
Units are reinfused in _____ order of collection (last unit collected is transfused first).
The final unit collected has the highest _____ level.
ANH is performed _____ (before/during/after) the surgical procedure.
whole
1:1, 3:1 (order matters)
8
reverse
hematocrit
before
