Blood Component Therapy Flashcards
BLOOD COMPONENT THERAPY is a term used when ________ is ______ into different _______ or _________ for the purpose of ________
whole blood
separated
cellular or plasma component
transfusion
Blood Component Therapy
Up to _____ components can be derived from donated blood.
four
Blood Component Therapy
The main transfusable blood components include:
________,_______,______,_______
Red cells Plasma Platelets cryoprecipitates
Centrifuged blood
________ is up
________ is in the middle
_______ is at the bottom
Plasma
White blood cell and platelets
Red blood cell
WHOLE BLOOD =________ blood collected into an approved container containing an anticoagulant preservative solution
Unseparated
BLOOD PRODUCT = _____________ prepared from human blood
Any therapeutic substance
BLOOD COMPONENT = A _____________, separated from _________ based on _______
constituent of blood
whole blood
differential centrifugation.
BLOOD COMPONENT
E.g.
_________ concentrate
_________
________ concentrates
________ prepared from_________
Red cell
Plasma
Platelets
Cryoprecipitate
fresh frozen plasma
BLOOD PRODUCT consists of both _________ and _________
Blood component and Plasma Derivatives
Bloodcomponents
– Prepared in _________________
Plasma derivatives
-prepared in ____________
blood transfusion center
plasma fractionation centers
•Bloodcomponents
-prepared by ________________
• Plasmaderivatives
-Pharmaceutically manufactured from ____________
centrifugal separation of blood
pooled plasma donations
•Bloodcomponents
Include:
• ______ concentrates
• _________ concentrates
•_______________
•___________
•___________ concentrates
• Plasmaderivatives
•__________
•______________
•______________
Red cell
Platelets
Fresh frozen plasma
Cryoprecipitate
Granulocyte
Albumin
Coagulation factors
immunoglobulins
plasma fractionation centers are not licensed.
T/F
F
They are licensed.
Blood component
Effective blood transfusion therapy depends on _________________________
availability of different blood components
Components used separately or in combination can meet most patients’ transfusion needs and keep the risk of transfusion to minimum
T/F
T
WHY IS BLOOD COMPONENT DESIRABLE??
The 5 S!
Survival
Safety
Supplement
Specific
Several
WHY IS BLOOD COMPONENT DESIRABLE
SURVIVAL
Separation of blood components allows _______________________
optimal survival for each component
WHY IS BLOOD COMPONENT DESIRABLE
SPECIFIC
Allows __________ according to ___________
transfusing specific blood components
the need of the patient
WHY IS BLOOD COMPONENT DESIRABLE
SAFETY
Prevents use of __________ which may be _____________
unnecessary component
contraindicated in a patient
WHY IS BLOOD COMPONENT DESIRABLE
SEVERAL
Several ____________________________
patients can be treated from one unit of donated blood
WHY IS BLOOD COMPONENT DESIRABLE
SUPPLEMENTS
Use of blood components __________ and ________________
supplements blood supply
adds to the blood inventory
Blood component:
A constituent of blood , separated from whole blood based on differential centrifugation
T/F
T
Blood component:
Made up of ———- component and _______ component
Cellular
Plasma
Blood component: Cellular components
• ________ concentrates
•Platelets
-_______________
-_________________
Red cell
Platelet rich concentrate
Platelet rich plasma
Blood component: plasma components
_____________
___________
_____________
Bank plasma
Fresh frozen plasma
Cryo precipitate
COMPONENT PREPARATION
Principle - Differential centrifugation
•Red cells
__________
_________________
Packed cells
Red cells + additive
COMPONENT PREPARATION
•
Principle - Differential centrifugation
Plasma + Platelets
Red cells
•
Packed cells
– –
Red cells + additive
Plasma
•
Bank plasma
– – –
Fresh frozen Cryo supernate
Platelets
•
Platelet rich concentrate
•
–
– Platelet rich plasma
Cryoprecipitate
COMPONENT PREPARATION
•
Principle - Differential centrifugation
Plasma + Platelets
Red cells
•
Packed cells
– –
Red cells + additive
Plasma
•
Bank plasma
– – –
Fresh frozen Cryo supernate
Platelets
•
Platelet rich concentrate
•
–
– Platelet rich plasma
Cryoprecipitate
Whole blood undergoes _____ spin to give A and B
B undergoes _____ spin to give C and D
D can be split in to E and F
Soft
A= Packed rbc
B= Platelet rich plasma
C= platelet concentrate
D=Fresh frozen plasma
E= cryoprecipitates
F=plasma derivatives
Packed red blood cells can be manipulated to give :
______
_________
_________
_______
Washed
Leukocytes depleted
Irradiated
Frozen
COLORS!!!!!
Whole blood
Red blood cells
Platelets
Plasma
Cryoprecipitate
Red
Red
Colorless
Yellowish
White
Shelf life !!!!!
Whole blood
Red blood cells
Platelets
Plasma
Cryoprecipitate
21/35 days
Up to 42 days
5 days
1 year
1 year
Storage conditions!!!!!
Whole blood
Red blood cells
Platelets
Plasma
Cryoprecipitate
Refrigerated
Refrigerated
Room temperature with constant agitation to prevent clumping
Frozen
Frozen
RED CELLS
WHOLE BLOOD:- not a component
– Used now only in ________>_____% of TBV
acute blood loss
RED CELLS
________
_______ red cell
________red cells
__________ red cell
____________________red cells
Whole blood
Packed
Irradiated
Leukocyte depleted
Frozen deglycerolised
Indications for whole blood?
Acute blood loss >25% of TBV
Indications for packed red blood cell?
Chronic Anaemia
Indications for Irradiated red cells?
Prevent ______ for severely ___________
__________
_________,_________ transfusion
GVHD; immunosuppred
transplant
neonate, intrauterine
Indications for Leucocyte depleted red cells
To Reduce ______________
_______ reaction
Does not _________
alloimmunisati on.
Febrile
prevent GVHD
Leukocyte depleted rbc can prevent GVHD
T/F
F
Can not prevent GVHD
Indications for Washed red cell
_____ deficiency
Severe reaction to _________________
IgA
plasma protein unresponsive to medication
Indications for frozen red cell
For rare blood groups
Preparation for whole blood
450mls of ____ in 63ml of __________
Blood
anticoagulant
Preparation for packed red cell
_________, express _________\2 00ml of RBC
Spin whole blood
supernatant
Preparation for irradiated red cell
________ radiated to kill ________
Gamma
lymphocytes
Preparation for leukocyte depleted red cell
______% of WBC is _________
99.9
filtered
Preparation for frozen red cell
___________ and frozen at -65 0
Glycerolized
Packed Red Blood Cell (PRBC)
Administration:
Transfuse within ______ of removal from fridge
Must be ______ and _____ compatible
Complete within ________. Max ______
Monitor vital signs at _______, then every ________, then _______
30 mins
ABO and RH
2hours; 4hours
Initiation ; 15mins, 30mins
NEVER ADD MEDICATION TO BLOOD TRANSFUSION
T/F
T
PLATELETS CONCENTRATES
Platelet units can be either
•_________ units
•________ units
Random donor
Apheresis
PLATELETS CONCENTRATES
1 random donor unit contains ____ x109 platelet in 50-60mls of plasma
1 apheresis unit contains >_____ x109 in 250mls of plasma
55
300
PLATELETS CONCENTRATES
Stored at 20-240C.
Constantly _____
Only last for _____
Infused in ______
agitated
5 days
30 mins
PLATELET CONCENTRATES
Dose:____ unit of platelet concentrate/____kg body weight
1; 10
Platelet concentrates
Administration:
Platelets should be transfused at a rate of _______ per minute for approximately ________
______ and _____ compatible
10 milliliters
30 minutes
ABO & Rh
PLATELET CONCENTRATES
increment/unit-inabsenceof consumption:
– For single unit should ↑ platelet count by _____ x 109/L.
For pooled units or apheresis unit should ↑ platelet count by ______ x109/L.
In neonates , 5-10ml/Kg of platelet unit should ↑ platelet count by ______ x109/L.
5-10
25-50
50- 100
FRESH FROZEN PLASMA
Contains:
–____________________ factors
-_______ and ________.
-Factor _____ level at least ____ % of normal fresh plasma level
labile & nonlabile clotting
albumin and immunoglobulin
VIII ( 8 ); 70
FRESH FROZEN PLASMA
Indications
Replacement of multiple coagulation factor deficiencies eg
–_______ disease
–_________ overdose
Liver
Anticoagulant
FRESH FROZEN PLASMA
Indications
__________ of ___________ deficiencies
_________ of _______in pts
Replacement of multiple coagulation factor
Depletion of coagulation factors
FRESH FROZEN PLASMA
Indications
Depletion of coagulation factors in pts
–receiving _______________
-_______________
large volume transfusions
DIC (disseminated intravascular coagulation)
FRESH FROZEN PLASMA: Production
Plasma collected from
__________ or ________
Frozen within ______ of collection
single donor units or by apheresis
8 hours
FRESH FROZEN PLASMA
Administration
Must be _____ compatible
Infuse as soon as possible after thawing
( within ______ ) -thaw at _____0 C
- using standard blood administration set
ABO
6 hrs; 37
FRESH FROZEN PLASMA
Precaution:
•_________ reaction are common
•_________ reaction may occur
•_________ is alone not an indication for use
Acute allergic
anaphylactic
hypovolaemia
CRYOPRECIPITATE
From _______________ (up to _____)
Thaw FFP at ____c that was frozen at ____c or lower
fresh frozen plasma
one year
1-6
-18
CRYOPRECIPITATE
Indication
_________ deficiency
____________ disease
__________emia
__________ deficiency
_________ bleeding
Factor VIII
von Willebrand’s
Hypofibrinogen
Factor XIII
Uremic
CRYOPRECIPITATE: characteristics
(Cold or warm?) -(soluble or insoluble?) precipitate
Contains : ______,_____,_____,_______,______
80 u of factor viii/unit and >150 mg/dl fibrinogen
Cold ; insoluble
Factor VIII, XIII, Fibrinogen, Fibronectin, VWF
Time Limits for Infusion
Blood/blood product : start infusion; complete infusion
Whole blood/red cells
Platelet concentrates
FFP
within 30 min. of removing pack from refrigerator; within 4 hour (less in high
ambient temperature)
immediately; within 20minutes
within 30 min; within 20 min
A 10 year old boy with severe type 3 von Willebrand disease presents to the A& E with severe haemathrosis, which blood component may be useful for him?
Cryoprecipitate
The appropriate product for a patient with aplastic anemia with Hb of 5.5gm/dl who has just received a bone marrow transplant is _______?
Irradiated rbc
A 35yr old sickle cell patient presents with Hb of 5gm, presents in cardiac failure. He also has a hx of febrile reactions which blood component is best for this patient.
Leukocyte depleted rbc
A 22yr old with acute leukaemia, has a platelet count of 8 x 109/L and Hb of 11g/dl . Does he need any blood component? If yes, which ones.
Only platelet concentrate
A 20 year old with septic abortion presented in the gynae emergency, she is bleeding through all orifices.
Hb is 5.5g/dl
Platelet count is 20 X 109/L
PT, PTTK and TT is prolonged
What is the diagnosis?
Will she benefit from blood component therapy?
Which ones and why?
DIC
Yes
Packed rbc; platelet concentrates ; FFP; cryoprecipitate
Advantages of blood donation to the donor
Challenges the bone marrow
Could Help in early detection of hematological abnormalities in the donor
Sense of fulfillment
Helps to reduce the iron levels of the donor
Measures you would would take to ensure that blood donation is safe for the donor
Proper identification and screening of the donor’s blood
Use sterile equipments
Use disposable equipment
Check vitals before and throughout the procedure
Education and informed consent of the donor