Blood Loss & Transfusion Flashcards

1
Q

What are the components of blood?

A

Erythrocytes, leukocytes, platelets, ions and water

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2
Q

What are the main functions of blood?

A

Transportation of O2, CO2, ions and metabolic units. Acts in humoral and cellular immune systems.

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3
Q

How long is whole blood good for?

A

8 hrs. post collection-after that it is old whole blood

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4
Q

What are the components of whole blood?

A

RBC, WBC, platelets, plasma, plasma proteins and coagulation factors (old blood doesn’t have coagulation factors)

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5
Q

When would you use whole blood?

A

Actively bleeding patient, hypovolemia, secondary acute hemorrhage.

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6
Q

What are the components of packed RBC?

A

RBC

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7
Q

When do you use packed red blood cells?

A

Patients with allergic reactions to plasma proteins or with febrile non-hemolytic reactions to WBC

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8
Q

When would you use platelet-rich plasma?

A

Severe bleeding in thrombocytopenic animals

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9
Q

What is pure plasma rich in?

A

Factor VIII, VWF and Fibrinogen

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10
Q

When should blood transfusions occur?

A

Acute blood loss (>20%), more than 10-15% blood volume loss intra-op, acute anemia <20% or chronic anemia <15%

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11
Q

What is the survival time of RBC in dogs, cats, horses and cattle?

A

Dogs:110-120
Cats: 75-80
Horses: 140-150
Cattle: 140-160

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12
Q

Which species doesn’t have to be screened for blood type before transfusion?

A

Dogs

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13
Q

What is the most common blood type in canines?

A

DEA 1.1

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14
Q

Why do you always blood type cats?

A

They have naturally occurring autoantibodies

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15
Q

What are the most antigenic blood types in horses?

A

Aa and Qa

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16
Q

Which type of horse carries the most antibodies?

A

Recently pregnant mares

17
Q

What type of cross-matching is this? Recipient plasma with donor RBC.

A

Major cross-matching

18
Q

What type of cross-matching is this? Recipient RBC with donor plasma.

A

Minor cross-matching

19
Q

How would you treat an allergic reaction to blood transfusion?

A

Stop transfusion, diphenhydramine, dexamethasone, epi and restart at slower rate

20
Q

How would you treat anaphylactic shock during transfusion?

A

Stop transfusion, initiate symptomatic support, epi and dexmethasone

21
Q

How would you treat circulatory overload?

A

Stop transfusion, oxygen supplementation, furosemide, restart transfusion at slower rate, consider different blood product

22
Q

How would you treat citrate overdose induced hypocalcemia?

A

Calcium salts slowly over 20 minutes under ECG monitoring