ABSITE Review - Blood Products

Question 1

Which blood products do not carry the risk of HIV and Hepatitis?

Answer 1

Albumin and serum globulins (heat treated)

Question 2

What is the #1 cause of death from a blood transfusion?

Answer 2

Clerical error leading to ABO incompatibility

Question 3

What lab findings are found on acute hemolysis? What is the treatment?

Answer 3

Haptoglobin < 50 (bids Hgb then gets degraded)
Free Hgb > 5
Increase in unconjugated bilirubin
Tx - fluids, diuretics, bicarbonate, pressors, histamine blockers

Question 4

What is the first sign of a transfusion reaction in an anesthesized patient?

Answer 4

Diffuse bleeding

Question 5

What is the MC transfusion reaction? What is the cause?

Answer 5

Febrile non-hemolytic reaction

Question 6

What happens when cold blood products are used?

Answer 6

Poor clotting

Question 7

Which is the MC bacterial contaminate in blood products? Which blood product is the MC source of contaminate?

Answer 7

GNRs (Ecoli)

Platelets (not refrigerated)