8 - Transfusion Therapy - ha

Question 1

Indicated for massive hemorrhage or when >10 units of blood are required in a 24 hr period.

Answer 1

Whole Blood

Question 2

Treatment of choice to replace RBCs

Answer 2

Packed RBCs

Question 3

How does a Packed RBC infusion affect labs?

Answer 3

One unit raises Hgb 1g/dL and Hct 3%

Question 4

What are the components of Washed RBCs?

Answer 4

RBCs, saline, WBCs, and platelets

Question 5

What would you give an anemic pt with recurrent or severe allergic reactions?

Answer 5

Washed RBCs

Question 6

Which transfusion has RBCs and plasma but NO WBCs?

Answer 6

Irradiated RBCs

Question 7

Pts with a history of recurrent febrile non hemolytic transfusion reactions receive this type of infusion.

Answer 7

Leukocyte-Reduced RBCs

Question 8

This has RBCs with NO plasma or WBCs.

Answer 8

Frozen-Deglycerolized RBCs

Question 9

How long is the shelf-life of Frozen-Deglycerolized RBCs?

Answer 9

Only good for 24 hours w/out refrigeration

Question 10

T/F: Platelets are donor matched.

Answer 10

FALSE

Question 11

T/F: Platelets are NOT indicated for all conditions of low platelet count (TTP HIT DIC).

Answer 11

TRUE - They are indicated for pts with thrombocytopenic bleeding, however

Question 12

If your patient arrives with DIC and a massive hemorrhage, what is indicated to replace coagulation factors?

Answer 12

Fresh frozen plasma

Question 13

This is a fibrinogen used in pts with von Willibrand’s and Hemophilia A.

Answer 13

Cryoprecipitate

Question 14

Your pt has bacterial sepsis and is severely neutropenic. After two days of optimum abx therapy, the pt still has not responded to therapy. What transfusion should you order?

Answer 14

Granulocyte Transfusion