Blood Transfuions Flashcards

1
Q

What do you need to document when prescribing a blood transfusion?

A
Patients details 
Your signature 
Date 
Blood components, volume and donation 
Any special requirements
Consent
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2
Q

What are some of the potential complications of blood transfusions?

A

Prions diseases
Circulatory overload
Acute haemolytic transfusion reaction
Shock

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3
Q

What disease is a potential complication of blood transfusions?

A

Prions disease

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4
Q

What is another name for Prions disease?

A

Creutzfeldt Jakob disease (CJD)

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5
Q

How do you treat prions disease?

A

By stopping the transfusion

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6
Q

When prions disease occurs due to a blood transfusion, what should you consider?

A

Wrong blood used for the patient
Circulatory overload
Acute haemolytic transfusion reaction
Anaphylaxis

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7
Q

If a patient is anaemic after a blood transfusion, how can you confirm that the transfusion is the cause?

A

Blood film will show a normochromic and normocytic anaemia
As the reticulocyte count will be high
A DAGT will be positive
Alloantibodies will be found

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8
Q

What type of antibodies can be found in anaemic patients who have had a blood transfusion?

A

Allo-antibodies

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9
Q

What are the 4 different types of blood transfusions?

A

RBCs
FPP
Platelets
Cryoprecipitate

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10
Q

If RBCs are to be used for a blood transfusion, what temperature should they be stored at?

A

4 degrees

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11
Q

If FFP is to be used for a blood transfusion, how long do you need to wait for it to thaw?

A

30mins

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12
Q

What are the indications for using RBCs for a blood transfusion?

A

Sickle cell disease

Anaemia that is severe or uncontrollable

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13
Q

What are the indications for using platelets or FFP for a blood transfusion?

A

Haemorrhage
DIC
Thrombocytopenia
Platelet disorders (obvs only for platelets)

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14
Q

What are the indications for using cryoprecipitate for a blood transfusion?

A

DIC
Renal failure
Hypofibrogenemia

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15
Q

What type of hypersensitivity is involved with blood types?

A

Type 2

B for blood types

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16
Q

What do you need to know about a blood donation?

A

Sex
Age
Recent travelling
Tattoos

17
Q

What is blood given by donors screened for?

A

Hepatitis (Hep B, C and E)
HIV
Syphillis

18
Q

What is the main cause of acute haemolytic transfusion reaction?

A

ABO incompatibility

19
Q

What are some of the clinical features of acute haemolytic transfusion reaction?

A

Tachycardia
Hypotension
Back pain
Dysponea

20
Q

Levels of what are increased, and therefore can be tested for, in acute haemolytic transfusion reaction?

A

Unconjugated bilirubin

21
Q

How is an acute haemolytic transfusion reaction managed?

A

Stop the bloody transfusion
High flow O2
IV fluids

22
Q

How much is 1 unit of blood?

A

525ml

1 pint