Blood Administration Flashcards
What are Blood Transfusions
-Introduction of whole blood or blood components directly into a persons circulatory system
Primary Purpose of Transfusions
-To increase circulating blood volume (Ie. surgery, trauma, significant blood loss)
-To increase # of RBC (severe anemia = administer blood to maintain hemoglobin)
-To supply certain components as replacement therapy (Ie. clotting factors, platelets, or albumin)
Blood and body weight
-8% of an adults body weight
-55% is plasma
-45% are cells
-Females have 4-5L, Males have 5-6L
Function of Blood
-Blood transports: nutrients, glucose, amino acids, albumin, proteins, dissolved gases (O2, CO2), waste products of metabolism (urea, ammonia, CO2), hormones, and RBCs/WBCs/ platelets
-Blood regulates fluid & electrolyte balance, acid-base balance & body temp
-Blood fights infection & maintains hemostasis of blood coagulation
Types of Blood Collection
-Directed Donation
-Homologous Donation
-Autologous Donation
Directed Donation
-Donation made by a donor chosen for or by the recipient
-This type of donation is offered in a specific and limited cases and may only be given by parents or legal guardians to their minor children
Homologous Donation
-Compatible blood donor
-Type of donation you would make if you donated your blood through CBS
Autologous Donation
-Pre-operative collection of your own blood 3-4 weeks before your scheduled surgery (can collect up to 5 units)
-Or Peri-operative blood salvage: the collection and reinfusion of blood lost during and immediately after surgery
Perioperative blood transfusions
-The blood from the surgical field is recovered, mixed with an anticoagulant and pumped through a cell salvage machine where it is centrifuged and washed
-Resulting red blood cells are then pumped into a transfer bag
-Blood May be reinfused to the patient immediately or later
Blood Donor Screening
-Questionnaire: When was your last tattoo? Do you have unprotected sex? Do you have more than one sexual partner?
-Hemoglobin: Level will be tested to make sure it is at a safe level to donate
-Vs: Taken to find out if you have a fever, if you are well hydrated/healthy enough to donate
-Viruses: such as HIV, hepatitis, HTLV, Zika
-Bacteria: Syphillis
-Parasites: Chagas
-Blood Groups: ABO blood type & Rh factor
Human T-lymphotropic Virus (HTLV)
-Virus that infects the white blood cells
-Can cause disease of the nervous system and leukemia
Chagas
-Type of sleeping sickness caused by a parasite
-Spread by the bite of reduvid bugs and one of the major health problems in South America
Blood Type A
-Antibodies Present: Anti-B
-Antigens Present: A antigen
Blood Type B
Antibodies Present: Anti-A
Antigens Present: B antigens
AB Blood Type
Antibodies: None
Antigens: A and B antigens