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Flashcards

Blood Products - Absite

Jennifer Huber Surgery - Absite Review Inglês 28 flashcards

Flashcards do conjunto (28)

  1. 1Blood products that don't carry a risk of HIV or hepatitisAlbumin and serum globulins
  2. 2What is donated blood screened for?HIV, HepB, HepC, HTLV, syphilis, West Nile virus
  3. 3Who do you use CMV negative blood on?use in low-birth weight infants
    BM transplant patients
    Other transplant patients
  4. 4Universal Blood Donor, Blood typeType O, contains no antigens
  5. 5What type of blood should females of childbearing age receive if need blood products?Rh-negative blood
  6. 6Bohr Effect on Stored Bloodlow in 2,3-DPG causing a left shift
    increased affinity for oxygen
  7. 7Type and Crossmatchdetermines ABO compatibility
  8. 8Type and Screendetermines ABO compatibility and looks for preformed Ab's to minor antigens
  9. 9How much does 1U of pRBC raise Hb and Hct by?1UpRBC increases Hb by 1 and Hct by 3-5
  10. 10One 6pack of Platelets should increase platelet count by how much?50,000
  11. 11Acute Hemolysis its cause, type of hypersensitivity, symptomsFrom ABO incompatibility
    Type II HS
    Back pain, chills, tachycardia,fever, hemoglobinuria
  12. 12Effects of acute hemolysis on Haptoglobin, free Hb, unconjugated bilirubinHaptoglobin <50mg/dL
    Free Hb >5g/dL
    Increase in unconjugated bilirubin
  13. 13Treatment for Acute Hemolysisfluids, diuretics, HCO3, pressors
  14. 14What is delayed hemolysis and what is its treatment?mild jaundice
    antibody mediated against minor antigens from donor
    Tx: observe if stable
  15. 15What is non-immune hemolysis? How to treat?from squeezed blood
    tx: fluids and diuretics
  16. 16MC transfusion reactionFebrile nonhemolytic transfusion reaction
  17. 17Cause of febrile nonhemolytic transfusion reactionrecipient antibody reaction against donor WBC (cytokine release)
  18. 18Treatment for febrile nonhemolytic transfusion reactiond/c transfusion + antipyretics (not aspirin)
    use WBC filters for subsequent transfusions
  19. 19Cause of urticaria during blood transfusionsnonhemolytic
    recipient antibodies against donor plasma proteins or IgA in an IgA deficient pt
  20. 20Treatment of Urticaria during blood transfusionsbenadryl, supportive treatment
  21. 21Anaphylaxis during blood transfusions symptoms and why it occursbronchospasm, HoTN, angioedema, urticaria
    Recipient Abs against donor IgA in IgA deficient patient
  22. 22Treatment for anaphylaxisEpinephrine, fluids, pressors, steroids, histamine blockers like Benadryl
  23. 23Transfusion-related acute lung injury (TRALI)caused by donor antibodies to recipient's WBCs, clot in pulm capillaries
    Leads to ARDS in <6hrs
    MCC of death from transfusions
  24. 24How does the cold affect blood transfusions?coagulopathy due to slowing of enzyme reactions
  25. 25How Hypocalcemia affect blood transfusionscan cause poor clotting as it is required for clotting cascade
    Seen with massive transfusions
  26. 26How Citrate affects blood productsbinds calcium after transfusion and causes hypocalcemia
  27. 27Most common bacterial contaminate in blood transfusionsGNRs, usually E. coli
  28. 28Most common blood product source of contaminationPlatelets, because they are not refrigerated

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Surgery - Absite Review FlashCards sobre Blood Products - Absite, criado por Jennifer Huber em 30-05-2018.
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Jennifer Huber
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