Unit 12 Flashcards

(58 cards)

1
Q

SITUATIONS THAT REQUIRE BLOOD
TRANSFUSION

A

Medical operations or surgeries
Blood transfusion in newborns
Injuries or accidents

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2
Q

done to pick up any risk factors that can be
correlated to the donor’s health state (WHO, 2012)

A

Interview

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3
Q

guidelines in every hospital (WHO, 2012)

A

Standard Operating Procedures (SOP)

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4
Q

have the responsibility to collect blood only from donors who are at low risk for any infection that could be transmitted through transfusion and who are unlikely to jeopardize their own health by blood donation (WHO, 2012)

A

Blood transfusion services (BTS)

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5
Q

Enumerate the 5 blood-borne diseases

A

MALARIA
SYPHILIS
HUMAN IMMUNODEFICIENCY VIRUS (HIV)
HEPATITIS B
CREUTZFELDT-JAKOB DISEASE (CJD)

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6
Q

An acute and sometimes chronic infection of the
bloodstream characterized clinically by fever, anemia, and splenomegaly, and is caused by apicomplexan parasites of the genus Plasmodium

A

MALARIA

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7
Q

Causative agents of malaria

A

Plasmodium Falciparum
Plasmodium Vivax
Plasmodium Ovale
Plasmodium Malariae

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8
Q

What type of infection or disease is malaria?

A

parasitic and zoonotic (vector-borne through mosquitoes)

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9
Q

a sexually transmitted bacterial infection caused by Treponema pallidum that may be acute or chronic

A

SYPHILIS

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10
Q

Causative agent of syphilis

A

Treponema pallidum

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11
Q

This lentivirus in the family Retroviridae and is the
causative agent of AIDS

A

HIV

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12
Q

complication caused by HIV

A

Acquired Immunodeficiency Syndrome (AIDS)

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13
Q

the most common blood-borne nosocomial
infection (according to CDC)

A

Hepatitis B

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14
Q

On exposure to this specific virus, the liver becomes inflamed, interfering with liver functions and possibly leading to chronic effects, such as hepatocellular cancer or liver failure

A

Hepatitis B

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15
Q

Patient with Hepa B will manifest _____________.

A

jaundice

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16
Q

Enumerate the blood-borne and food- and water-borne hepa viruses

A

Blood-borne: Hepa B, Hepa C, Hepa D
Food- and water-borne: Hepa A, Hepa E

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17
Q

a human TSE that emerged from an epidemic of bovine spongiform encephalopathy, probably as a result of entry of the pathogenic prion into the human food supply from affected cattle

A

CREUTZFELDT-JAKOB DISEASE (CJD)

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18
Q

T/F:
CJD is common in the Philippines

A

False

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19
Q

T/F:
Obtaining insulin from bovine sources decreases the risk of attaining CJD.

A

False;
increases

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20
Q

PURPOSES OF BLOOD DONOR SELECTION

A

Protect donor health
Ensure patient safety
Identify any harmful factors
Reduce unnecessary deferral of safe donors
Ensure the quality of blood products
Minimize the wastage of resources

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20
Q

PURPOSE OF BLOOD DONOR SELECTION

A

Protect donor health
Ensure patient safety
Identify any harmful factors
Reduce unnecessary deferral of safe donors
Ensure the quality of blood products
Minimize the wastage of resources

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21
Q

Key tool in donor selection which is standardized,
incorporating selection criteria necessary for uniformity and consistency

A

DONOR QUESTIONNAIRE

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22
Q

T/F:
Donor questionnaire ensures that same information is collected systematically
and forms the basis for a one-tone confidential interview with a trained member of staff

A

True

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23
Q

Why are donor educational materials important?

A

to inform about donor suitability and to enable the potential donors to assess their own suitability and self-defer if applicable

24
Age qualification for allogenic and autologous donation
allogenic: 16/17- 66 years old autologous: no age restriction
25
“…a voluntary agreement given by the prospective donor to the donation of blood, to the testing of a blood sample for transfusion transmitted infection (TTI), for the transfusion of the donated blood to patients and if required, for the use of the blood for additional tests, quality assurance or research purposes.”
informed consent
26
T/F: Donor medical history requirements should not be self-administered and should only be accomplished with assistance of trained donor historian.
False; can be self-administered or with assistance
27
When are DONOR MEDICAL HISTORY REQUIREMENTS conducted prior to the day of donation?
Conducted on the same day as the donation at in a secluded area
28
Scopes of questions asked in a donor questionnaire/interview
If he/she is feeling healthy today Medication Sexual activities Diseases Travel Vaccination Medical accidents Last donation Tattoo, body piercing, been in prison Taking of alcohol and smoking Had a transplant Female: pregnant
29
Medications that may be a cause for donor deferral
aspirin proscar avodart propecia tegison
30
Diseases that may be a cause for donor deferral
HIV Hepa Syphilis or gonorrhea TB Chaga’s disease Malaria Cancer blood disease heart or lung disease
31
Why do we ask about the patient's travel history?
There are endemic areas like Palawan and Mindoro, Africa, UK
32
3 types of deferrals
Temporary Indefinite Permanent
33
Type of deferral wherein donor is unable to donate blood for a limited period of time
Temporary
34
Type of deferral wherein donor is unable to donate blood for an unspecified period of time due to current regulatory requirements
Indefinite
35
Type of deferral wherein donor donor will never be eligible to donate blood
Permanent
36
For hematocrit determination, do we use capillary tubes that are heparinized or not?
heparinized
37
Qualifications w regard to the general appearance of the donor
● Not febrile, breathless, or suffering from persistent cough ● Observe malnutrition or any debilitating condition ● Have sound mental status ● Not under the influence of alcohol or drugs
38
Importance of checking donor's weight
Protect donors from adverse effects especially anemia and vasovagal episodes (fainting or loss of consciousness)
39
Generally accepted volume of whole blood donated should not exceed __% of blood volume.
13
40
General weight criterion:
110 lbs. or 50 kg
41
Donor should weigh at least: o 45 kg to donate ____ mL (± 10%) o 50 kg to donate ____ mL (± 10%)
350 450
42
What are the vital signs to check on the donor?
Pulse Body temperature Blood pressure Hemoglobin Hematocrit
43
Accepted pulse rate
normal pulse rate: 72 bpm normal range: 50-100 bpm
44
Accepted body temperature
less than 37.5C or 99.5F
45
Accepted blood pressure
Systolic BP: less than or equal to 180 mmHg (100-140 mmHg) Diastolic BP: less than or equal to 100 mm Hg (60-90 mmHg)
46
Accepted hemoglobin level
greater than or equal to 12.5 g/dL Females: not less than 12.0 g/dL as the threshold (WHO) Males: not less than 13.0 g/dL as the threshold (WHO)
47
What method is used for hemoglobin determination?
copper sulfate method
48
Specific gravity of copper sulfate
1.053
49
Hemoglobin: copper sulfate method Result: sample floats less than or greater than 12.5 g/dL? accept or defer?
less than 12.5 g/dL defer
50
Hemoglobin: copper sulfate method Result: sample sinks less than or greater than 12.5 g/dL? accept or defer?
greater than 12.5 g/dL accept
51
Method used for hematocrit determination
Adam’s Hematocrit Method
52
Accepted Hematocrit Range
38%-41%
53
Skin lesions that should not be present in the venipuncture site and may need to be evaluated by the blood bank physician.
Poison ivy and rashes
54
For blood collection, apply tourniquet or blood pressure cuff at?
40-60 mmHg
55
Needle gauge for blood donation
16
56
In collecting blood for donation, instruct donor to open/ close fist every ___-___ seconds.
10-12
57
How often should the blood be mixed?
1-2x per minute