Blood Donation Flashcards

1
Q

Minimum age for donation.

A

17 (without parental consent)

*some states 16 (with parental consent)

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2
Q

Viral Hepatitis

A

Permanent Deferral

  • personal hx after age 11
  • Positive HBsAg, anti-HBc, reactive anti-HCV

12 Months

  • contact with viral hepatitis
  • Incarcerated >72 hours
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3
Q

CJD

A

Permanent Deferral:

  • > 3 months in UK or 5 years total (1980-1996)
  • Family Hx
  • Bovine Insulin
  • Dural Transplant
  • Pituitary derived Growth Hormone
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4
Q

HIV

A

Permanent Deferral:

  • HIV+
  • Homosex in past 12 months

12 months:
- Healthcare worker exposed to blood of HIV+ pt

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5
Q

Babesiosis & Chagas

A

Permanent Deferral

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6
Q

Drugs - > 3 years deferral (4)

A

Permanent Deferral:

  • Tegison (etretinate)
  • Human Pituitary Growth Hormone
  • Bovine Insulin

3 year deferral:
- Soriatane (Acitretin)

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7
Q

Drugs - 24 month (3)

A
  • Erivedge (vismodegib)
  • Odomzo (sonidegib)
  • Aubagio (teriflunomide)
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8
Q

Drugs - 12 month (2)

A
  • HepB immunoglobulin (HBIG)

- Experimental drug or vaccine

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9
Q

Drugs - 6 month (1)

A

Dutasteride (avodart)

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10
Q

Drugs - 1 month (2)

A
  • Isotretinoin

- Finasteride

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11
Q

Drugs - 14 days (3)

A
  • Clopidogrel
  • Ticlopidine
  • Vorapaxar
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12
Q

Drugs - 7 days (5)

A
  • Prasugrel
  • Ticagrelor
  • Warfarin
  • Heparin
  • Fondaparinux
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13
Q

Drugs - 3 days (1)

A
  • Piroxicam
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14
Q

Drugs - 2 days (5)

A
  • Deltaparin
  • Enoxaparin
  • Clabigatran
  • Apixaban
  • Endoxaban
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15
Q

HTLV-1 infection

A

Indefinite

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16
Q

Receiving money or drugs for sex

A

Indefinite

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17
Q

Paying for sex.

A

12 months

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18
Q

Hx of syphilis, gonorrhea

A

12 months

19
Q

Incarceration >72 hours

A

12 months

20
Q

Travel to malaria endemic area

A

12 months

21
Q

Non-sterile needles (tatoo)

A

12 months

22
Q

Lived for >5 years in malaria endemic areas (regardless of prophylaxis)

A

3 years

23
Q

Minimum Hb/Hct

A

12.5/38%

24
Q

Autologous donor: minimum Hb/Hct

A

11/33%

25
Q

Plasmaphoresis: minimum weight

A

50 kg (110 lbs)

26
Q

Plasmaphoresis: “frequent” donor program

A

2 donations/wk; at least 2 days apart

Others: 4 weeks apart

27
Q

Plateletphersis interval

A

2/week; at least 2 days apart

<25 in 1 year

28
Q

Deferral period following single unit of RBCs with platelets and or plasma

A

8 weeks

29
Q

Deferral period following double RBC donation by apheresis

A

16 weeks

30
Q

Donor Adverse Reactions - Vasovagal Reaction:

  • S/S
  • Treatment
A

Donor Adverse Reactions - Vasovagal Reaction:

  • Bradycardia, Hypotension, Dizzy, Syncope, Sweating, N/V
  • Elevate feet, cold compress to head/neck
31
Q

Donor Adverse Reactions - Hypovolemia:

  • S/S
  • Treatment
A

Donor Adverse Reactions - Hypovolemia:

  • Tachycardia w/ Hypotension
  • Fluids by mouth or IV
32
Q

Donor Adverse Reactions - Hyperventilation:

  • S/S
  • Treatment
A

Donor Adverse Reactions - Hyperventilation:

  • Rapid/Shallow breathing - Hypocapnia (+/- twitching/seizure)
  • Breath in paper bag
33
Q

Donor Adverse Reactions - Citrate effect:

  • Only seen in what donors
  • MOA
  • S/S
  • Treatment (mild/severe)
A

Apheresis donors only

  • Hypocalcemia
  • Perioral tingling, N/V, arrhythmias, seizures
  • Mild - slow infusion
  • Severe - Calcium Carbonate (oral)
34
Q

ABO grouping:

-Forward typing

A

Donor RBCs w/ anti-A and anti-B reagents

35
Q

ABO grouping:

-Reverse typing

A

Donor serum w/ A1 and B reagent RBCs

36
Q

Rh Type testing is determined by using what?

A

Anti-D reagent

37
Q

If anti-D test is negative what is the next step?

-How is this peformed

A

Test for weak D

-Addition of antihuman globulin (AHG) and extended incubation

38
Q

The antibody screen is required for what donors? (2)

A
  • History of transfusion

- History Pregnancy

39
Q
What is the blood type:
Forward Grouping
-Anti-A - 0
-Anti-B - 0
Reverse Grouping
-A cells - 4+
-B cells - 4+
A

Group O

40
Q
What is the blood type:
Forward Grouping
-Anti-A - 4+
-Anti-B - 4+
Reverse Grouping
-A cells - 0
-B cells - 0
A

Group AB

41
Q
What is the blood type:
Forward Grouping
-Anti-A - 4+
-Anti-B - 0
Reverse Grouping
-A cells - 0
-B cells - 4+
A

Group A

42
Q
What is the blood type:
Forward Grouping
-Anti-A - 0
-Anti-B - 4+
Reverse Grouping
-A cells - 4+
-B cells - 0
A

Group B

43
Q

What are the required Infectious Diseases tests on donor blood? (8)

A
  • HBsAg
  • Anti-HBc
  • Anti-HCV
  • HCV RNA
  • Anti-HIV1/2
  • HIV1 RNA
  • Anti-HTLV-I/II
  • RPR (serologic test for syphilis)