Blood donor Screening Flashcards

1
Q

What are the order of Blood Donation?

A
  • Blood donor selection
  • Blood collection
  • Unit processing and component processing
  • Compatibility testing/Pre-transfusion testing
  • Blood transfusion
  • **Transfusion reactions
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2
Q

What are the components included in Donor screening?

A
  • medical history,
  • physical examination,
  • serological testing
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3
Q

Why is proper Donor selection important?

A

Keywords: Safe transfusion

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4
Q

Why is Medical History important in blood donation?

A
  • to make sure the donor is well fit for donation, and
  • to make
    sure the blood is safe and
  • beneficial to the recipient of the blood
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5
Q

Give the 6 components for Physical examination:

A
  • Weight
  • Temperature
  • Pulse
  • Blood pressure
  • Hemoglobin
  • Hematocrit
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6
Q

Give the normal values for an Ideal donor based on these criterion:
- Weight
- Temperature
- Pulse
- Blood pressure
- Hemoglobin
- Hematocrit

A
  • 110 lbs / 50kg (Standard)
  • <37.5°C (99.5°F)
  • 50—100bpm

Systolic: 90—160 mmHg (should not >180 mmHg)
Diastolic: 60—100 mmHg (should not >100 mmHg)

> 12.5 g/dL (125 g/L)
Autologous: >11 g/dL

> 38%
Autologous: >33%

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7
Q

What is the required ideal age of a blood donor?

A

Ages: 18-65 years old

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8
Q

Can a blood donor be the recipient?

A

Yes, especially in cases of surgery the patient may donate blood prior to a major surgery and is deemed as AUTOLOGOUS

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9
Q

How does a 17 years old able to donate blood?

A

With parent’s consent

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10
Q

How does a donor above 65 years old able to donate?

A

With physician’s consent

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11
Q

____________ donors should be informed of the procedure for
donating blood and its potential risks

A

Consent to donate

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12
Q

What should you do if the donor is weighing less than the requirement weight?

A

Perform volume adjustments.

decrease the blood to collect and AC in the primary bag

< 110 lbs/50 kg

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13
Q

Give the three equations for volume adjustments:

A

Maximum blood to donate:
Donor weight/Ideal weight (110lbs/50kg) x 450 mL

Volume of AC needed:
Maximum blood to donate/100 x 14

Volume of AC to be removed from the primary bag:
63 - (Volume of AC required)

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14
Q

Standard volume for anticoagulant

A

63 mL AC

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15
Q

TRUE or FALSE: A blood bag unit is an open system

A

FALSE; the Blood bag unit is a closed system to avoid contamination. Accessing the inner portion requires the use of needles, and upon removal of AC this is now considered and open system

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16
Q

Hemoglobin testing can be done on which qualitative and quantitative methods?

A

qualitative:
Copper sulfate (CUSO4) method

quantitative:
CBC

17
Q

up to how many tests can CUSO4 be used?

A

up to 30 tests

18
Q

give the acceptable results for CUSO4 method

A

drop of blood sinks w/in 15s is interpreted as >12.5 g/dL Hb; otherwise, if it suspends or floats it is interpreted as <12.5 g/dL Hb

19
Q

Known as the “Donor Patient”

A

A donor who donates blood for his or her own use; AUTOLOGOUS DONORS

20
Q

What do you mean by Deferrals?

A

Delayed transfusions

21
Q

What does the acronym AABB stands for?

A

American Association of Blood Banking

Association of Advancement in the Blood and Biotherapies

22
Q

Common deferrals:
Not feeling well
Drunk
Skin lesions at venipuncture site

A
  • temporarily
  • deferred for 12 hours
  • deferred until fully recovered
23
Q

3 days deferral

A

Aspirin-containing medications

24
Q

2 weeks deferral

A
  • Measles vaccine
  • Mumps vaccine
  • Polio vaccine
  • Yellow fever vaccine
  • Acute febrile illness
25
Give at least 3 causes for 12 months deferral
- Syphilis - Gonorrhea - Animal bite - Hepatitis vaccine - Tattoo - Skin penetration with blood contaminated sharp - Ear piercing - Imprisoned - Tooth extraction - Household or sexual contact with individual w/ hepatitis, HIV - Traveled to area endemic for malaria
26
3 years deferral
From an area (citizen) endemic for malaria
27
Give at least 3 causes of permanent deferral
- Parenteral drug use - Family history of Creutzfeldt-Jakob disease - Treated with growth hormone - Viral hepatitis after 11th birthday - Repeatedly reactive anti-HBc, anti-HCV, or anti-HIV - Babesiosis - Chaga’s disease - Cancer patient - Patients w/ bleeding disorders - Anemic
28
what are the 2 systems used in donor identification?
numeric and alphanumeric system
29
How to identify the patient correctly?
the phlebotomist must identify the blood donor to state his/her name
30
Precaution in blood donation:
Blood donation should not be > 10% of donor's blood volume
31
Donor bleeding: Donor intervals:
7-10 minutes (Philippine standard < 15 minutes) 3-4 months interval
32
Major governing agency that approves blood collection sets
Food and Drug Administration (FDA)
33
Qualities of a blood collection sets:
The set must be sterile, uncolored, transparent, and hermetically sealed Key properties for containers: Flexibility, Pliability, Toughness Should be kink and scratch-resistant Should allow adequate gas exchange of O2 & CO2 but prevent evaporation of the liquid
34
TRUE or FALSE: The whole blood collection set is a “closed system” with a primary bad and one or more satellite containers
TRUE
35
TRUE or FALSE: If the seal is broken or compromised, the expiration date and time must be changed and the set is now considered as “Open system”
TRUE
36
Disinfection can be done in patients who are iodine sensitive via
chlorhexidine gluconate and isopropyl alcohol
37
how often do we swirl the blood bag?
every 45 seconds to mix blood & AC
38
Donor Management 6 encounters:
- Fainting - Convulsions - Cardiopulmonary disease - Hematoma - Jet-like bleeding with bright red color - Lightheadedness, weakness, tingling sensation, palpitations