Blood transfusion Flashcards

1
Q

What is blood screened for before donor transfusion?

A
  • HIV
  • Hep E
  • Hep C
  • Hep B
  • HTLV
  • Syphillis
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2
Q

How long can red cells be stored for?

A
  • 35 days
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3
Q

How long can FFP be stored for?

A
  • 3 years frozen
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4
Q

How long can platelets be stored for?

A
  • 7 days
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5
Q

Explain red cell antigens?

A
  • inherited from parents
  • foreign antigen -> antibody formation
  • 2nd exposure can cause reaction
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6
Q

Explain the ABO system?

A
  • chromosome 9
  • 2 copies
  • a and b cause h substance
  • o is silent
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7
Q

What is Landsteiner’s law?

A
  • when someone lacks A or B antigen

- exposure to natural antigen can cause antibody formation

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8
Q

ABO blood types?

A
  • A
  • B
  • AB
  • O
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9
Q

Antibiodies for each ABO group

A
  • A = anti b
  • B = anti a
  • AB = neither
  • o = anti a and anti b
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10
Q

Donor group O can be given to what recipient groups?

A
  • O
  • A
  • B
  • AB
  • As no antigens present
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11
Q

Donor group A can be given to what recipient groups?

A
  • Group A

- AB

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12
Q

Explain the Rh system

A
  • 2 alleles D and d
  • d is silent
  • anti-d antibody can cause reaction
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13
Q

Explain antisera

A
  • known antibody specificity to identify antigens present on red cell
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14
Q

Explain reagent red cells

A
  • red cells of known antigen specificity to identify antibodies in plasma
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15
Q

How is ABO grouping performed?

A
  • antisera (identifying antigens)

- reagent red cells (identifying antibodies)

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16
Q

Agglutination positive in ABO grouping means?

A
  • incomparable
17
Q

What type of reagent red cell is used in ABO grouping?

A
  • IgM
18
Q

Explain how antibody screening is performed?

A
  • test patients plasma against several reagent red cells which express a known range of antigens
  • add anti-human globulin
19
Q

How is donor recipient cross matching conducted?

A
  • donor red cells
  • add patient plasma
  • add anti-human globulin
  • look for agglutination
20
Q

What are the indications of a red cell transfusion?

A
  • symptomatic anaemia Hb < 70g/l

- major bleeding

21
Q

What are the indications for a platelet transfusion?

A
  • prophylaxis in patients with bone marrow failure and very low platelet count
  • treatment of bleeding in thrombocytopenia patients
  • prophylaxis for surgery in thrombocytopenia patientis
22
Q

Indications for a FFP transfusion

A
  • treatment of bleeding in patient with coagulopathy pT>1.5
  • Prophylaxis for patient with a coagulopathy
  • transfuse early in trauma