Blood Transfusion in Practice Flashcards
can a patient with blood group O receive group A red cells safely?
no
can a patient with blood group O receive group A frozen plasma safely?
yes
can a patient with blood group O receive group A platelets safely?
yes
can a patient with blood group O have group A red cells child?
yes
can a patient with blood group A receive group O red cells safely?
yes
can a patient with blood group A receive group O frozen plasma safely?
no
can a patient with blood group A receive group O platelets safely?
no
what are the universal red cells?
O group
23yrs F with lower abdominal pain
with a high pulse and low BP
what sample do you sen to blood transfusion?
cross match 2 units
in an emergency what blood type should be transfused?
O negative
after 6 units of red cells are given and the bleeding doesn’t stop, what should be given afterwards?
fresh frozen plasma to try and stop the bleeding
after a massive haemorrhage, what blood tests should be done?
FBC
PT
APTT
Fibrinogen
after a massive haemorrhage, what further factors might need correction ?
pH
calcium
temperature
are blood group checked during pregnancy ?
yes
why are blood groups checked during pregnancy?
to avoid haemolytic disease of a new born
65-year-old patient on warfarin for atrial fibrillation presents with epistaxis with INR 5.0. He is given Fresh Frozen Plasma and develops a widespread itchy rash.
how do you manage this?
chlorphenamine - antihistamine
what is the threshold for haemoglobin for transfusion ?
70g/L
do people with megaloblastic anaemia get transfused ?
not normally
what is a way of increasing haemoglobin before a surgery?
oral iron
if a patient is well but has a fever and hypertensive. what sort of transfusion reaction is this?
non-haemolytic transfusion reaction
patient is breathless and has high pulse and BP and resp rate.
what is the transfusion reaction?
transfusion associated circulatory overload
what is the management of transfusion associated circulatory overload?
stop transfusion
oxygen
furosemide
what is the threshold for platelets for transfusion?
<50 count
what is the threshold for platelets for transfusion for a patient on chemo?
<15 count
