Blood Banking Flashcards

1
Q

Blood type A

A

you have A antigen on the surface of the RBC and B antibodies in your blood plasma

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2
Q

which blood type is the universal donor?

A

O

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3
Q

which blood type is the universal recipient?

A

AB

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4
Q

what type of blood cells are transferred in a transfusion?

A

RBC

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5
Q

how does a hypersensitivity reaction present?

A
mild fever
anaphylaxis 
severe hemolysis
chills
rash
back pain
bloody urine
fainting
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6
Q

what is cross matching?

A

testing performed prior to a transfusion to determine if blood types are compatible for organ transplants

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7
Q

agglutination reaction

A

clumping of the red blood cells because of mismatch transfusion

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8
Q

Rh factor

A

Rh antigen on the RBC indicated by + or - on blood type

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9
Q

hydrops fetalis

A

when RBC of the fetus are destroyed by the Rh antibody of the mother

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10
Q

who is Landsteiner?

A

he discovered the Rh factor in 1940 and he also discovered ABO blood types

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11
Q

what is the Direct Coombs test? (DAT or direct antiglobulni test)

A

used to identify if there is lysis of the RBC
used to detect hemolytic transfusion reaction
-identifies antibodies that are attached to the RBC

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12
Q

how is the DAT test done?

A

Coombs reagent involved and if there is agglutination you will be able to visual it

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13
Q

indirect Coombs test or IAT

A

used in prenatal testing of pregnant women and in testing blood prior to blood transfusion

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14
Q

how is the Coombs test done?

A

serum is extracted then incubated with RBCs of known antigenicity

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15
Q

why do we give blood transfusions?

A

increase oxygen-carrying capacity

increase total blood volume

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16
Q

when should you give a blood transfusion? (oxygen carrying)

A

unlikely for hemoglobin >10 g/dL
in between 10 and 6 if pt has major disease such as emphysema or ischemic heart disease
definite for hemoglobin <6 g/dL

17
Q

when should you give a blood transfusion?

volume

A

blood loss of more than 20% (100 ml)

18
Q

what is TRALI?

A

transfusion related acute lung injury

-rare but usually seen within the first 6 hours

19
Q

what is the presentation of TRALI?

A

acute onset of dyspnea
severe hypoxemia
hypotension
fever

20
Q

delayed hemolytic transfusion reaction

A

due to hemolysis of previously unknown antibody

21
Q

what labs would be indicated in suspected DHTR?

A

look for falling Hgb
newly positive antibody screen
spherocytes on smear