BLOOD BANK Flashcards
Replacement fluids used for therapeutic plasmapheresis (plasma exchange)
NSS, NSA, PPF, FFP
Therapeutic plasmapheresis helps remove the offending agents in cases of:
Paraproteinemia (e.g. Multiple Myeloma, Waldenstrom Macroglobulinemia, etc.)
Familial Hypercholesterolemia, etc.
Therapeutic __________ is beneficial in diseases that involves malfunction of the immune system (SLE, RA)
Plasmapheresis
Therapeutic indication:
Treat various complications of Sickle cell disease, such as priapism and impending stroke
Also in pxs with severe parasitic infections from malaria and babesia
Erythrocytapheresis
Therapeutic Indications:
for young pxs with certain hematologic disorders especially thalassemia syndromes
Neocytapheresis
Therapeutic Indications:
means of producing immunosuppression in conditions like RA, SLE, Kidney transplant rejection and autoimmune and alloimmunedisease.
Lymphocytapheresis
Therapeutic Indications:
Used to treat patients with leukemia such as Hairy cell leukemia, AML, Cutaneous T cell lymphoma
Leukapheresis
Leukapheresis wbc content:
> 100,000/uL
administered to the donors 12-24 hours before leukapheresis to increase the number of circulating granulocytes by pulling them from the marginal pool
corticosteroids
Sedimenting agent used for granulocyte collection which causes red cells to form rouleaux thus allowing wbcs to be harvested more efficiently
HES (Hydroxyethyl starch)
Therapeutic Indications: Used to treat patients who have abnormally elevated platelet counts such as in cases of Polycythemia vera
Plateletpheresis
Plateletpheresis is equivalent to _____ random platelet concentrates
6-10 random platelet concentrate
Contents of plateletpheresis:
3x10^11
Indications:
GVH reactions
BM transplant
Direct donation from a blood relative
Exchange transfusion
IUT
transfusion for immunocompromised patients
Irradiated blood
Target cells for irradiated blood
Lymphocytes
Cell responsible for the graft vs host reaction for immunocompromised patients
T-cells
Elements used for blood irradiation:
Cesium 137
Cobalt 60
Shelf life of Irradiated blood
28 days
Immunosuppressant that prevents antibody reaction of mother to prevent HDFN
Rho (D) Ig (Rhogam)
Shelf life of Rhogam
3 years
Storage temp of Rhogam
1-6 deg C
Indication:
Prevention of Rho (D) immunization
Given to Rh negative mothers due to incompatible pregnancy
Rho (D) Ig (Rhogam)
Full dose of Rhogam
300 ug Anti-D
Administration of Rhogam: Full dose
3rd trimester; full term delivery, 3 days after delivery
300 ug Anti-D can neutralize ____ of whole blood and ___ mL of PRBC FMH - fetomaternal hemorrhage/bleeding
30/15
Mini dose of Rhogam
50 ug Anti-D
Administration of Rhogam: Mini Dose
ectopic rupture, amniocentesis, miscarriage of rH negative (first born child)
Mini Dose of Rhogam can neutralize ____ mL of whole blood and ___ mL of FMH - fetomaternal hemorrhage/bleeding
5/2.5 mL
Synthetic Volume Expanders: Crystalloids (REN)
Ringer’s lactate
Electrolyte solution
NSS
Synthetic Volume Expanders: Colloids (HD)
Dextran
Hydroxyethyl Starch (HES)
Indication: Plasma volume expansion
Plasma protein fraction
Contents of Plasma protein fraction:
80-85% albumin
15-20% globulin
Shelf life of Plasma Protein Fraction at 20-24 deg C
3 years
Shelf life of Plasma Protein Fraction at 1-6 deg C
5 years
Indications:
Plasma volume expansion:
surgery
trauma
burns
Normal Serum Albumin (NSA)
Shelf life of Normal Serum Albumin (NSA) at 20-24 deg C
3 years
Shelf life of Normal Serum Albumin (NSA) at 1-6 deg C
5 years
Content of NSA:
96% albumin
4% globulin
Indication:
prophylactic treatment to pxs exposed to hepatitis, measles, or chicken pox; treatment of congenital hypogammaglobulinemia
Immune Serum Globulin
Immune Serum Globulin (ISG) shelf life: Intramuscular
3 years
Immune Serum Globulin (ISG) shelf life: Intravenous
1 year
Factor IX Concentrate (Prothrombin complex) shelf life:
varies on expiration date on vial
Factor IX Concentrate (Prothrombin complex) storage temperature:
1-6 deg C (lyophilized)
Indication: Hemophilia B
Factor IX Concentrate (Prothrombin complex)
Indication: Hemophilia A
Factor VIII concentrate
Storage temp for Factor VIII concentrate
1-6 deg C lyophilized
Factor VIII concentrate shelf life
varies on expiration date on vial
Are concentrates of plasma proteins that are prepared from pools (many units) of plasma
Plasma derivatives
Indications: correct severe neutropenia, fever unresponsive to antibiotic therapy, and myeloid hypoplasia of the bone marrow
Granulocyte concentrate
Granulocyte concentrate shelf life:
24 hours
Granulocyte concentrate storage temp:
20-24 deg C without agitation
Contents of granulocyte concentrate:
1 x 10^10 wbc
Indications: Hemophilia A, vWF disease, Fibrinogen deficiency, Factor XIII deficiency
Cryoprecipitate
Cryoprecipitate content: Factor VIII:C
80-150 IU
Cryoprecipitate content: Factor VIII: vWF
40-70%
Cryoprecipitate content: Fibrinogen
150-250 mg
Cryoprecipitate content %: Factor XIII
20-30%
Storage temp: Frozen Cryoprecipitate
-18 deg C or colder
Storage temp: Thawed Cryoprecipitate
20-24 deg C
Shelf life Cryoprecipitate: Frozen
1 year
Shelf life Cryoprecipitate: Thawed
6 hours
Shelf life Cryoprecipitate: Pooled
4 hours
Fibrin glue is made with
Equal volume of cryoprecipitate and thrombin reagent
Active factors in cryoprecipitate
Factor I (fibrinogen) and XIII (fibrin stabilizing factor)
Promotes fibrin clot formation
Thrombin
Stabilizing factor in cryoprecipitate
FACTOR XIII
Used to stop further bleeding and other hemorrhagic conditions to the site of surgery
Fibrin glue
Indication: Treatment of stable clotting factor deficiencies
Single donor plasma (SDP) Liquid/Frozen
Single donor plasma (SDP) Liquid: Shelf-life and Storage
5 days beyond whole blood expiration
1-6 deg C
Single donor plasma (SDP) Frozen: Shelf life and Storage
5 years; -18 deg C or colder
Indication: Treatment of multiple coagulation factor deficiencies (caused by massive transfusion, trauma, liver dse, DIC). Also for treatment of antithrombin III deficiency, TTP, HUS
Fresh Frozen Plasma (Single Donor, prepared from whole blood)
Frozen plasma is thawed at water bath at: _____
37 deg C
Fresh Frozen Plasma (Single Donor, prepared from whole blood) Shelf life and Storage temperature: Frozen
1 year at -18 deg C
Fresh Frozen Plasma (Single Donor, prepared from whole blood) Thawed at Room temperature shelf life:
6 hours
Storage of Fresh Frozen Plasma (Single Donor, prepared from whole blood) Thawed at Room Temp:
6 hours
Fresh Frozen Plasma (Single Donor, prepared from whole blood): -65 deg C shelf life:
up to 7 years
Contents: Fresh Frozen Plasma (Single Donor, prepared from whole blood)
All coagulation factors; 400 mg Fibrinogen
Platelet additive solution:
Intersol
Intersol can extend shelf life of platelets from
5-7 days
Contents of platelets single donor prepared by pheresis:
3.0 x 10^11 platelets in approx. 300 mL of plasma
Indications: Thrombocytopenia; for pxs refractory to random plts. Due to platelet antibodies
Platelets (Single donor prepared by pheresis)
Shelf life of platelets closed system
5 days