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Y3 Haematology > Blood Transfusion in Practice > Flashcards

Blood Transfusion in Practice Flashcards

1
Q

can a patient with blood group O receive group A red cells safely?

A

no

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2
Q

can a patient with blood group O receive group A frozen plasma safely?

A

yes

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3
Q

can a patient with blood group O receive group A platelets safely?

A

yes

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4
Q

can a patient with blood group O have group A red cells child?

A

yes

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5
Q

can a patient with blood group A receive group O red cells safely?

A

yes

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6
Q

can a patient with blood group A receive group O frozen plasma safely?

A

no

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7
Q

can a patient with blood group A receive group O platelets safely?

A

no

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8
Q

what are the universal red cells?

A

O group

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9
Q

23yrs F with lower abdominal pain
with a high pulse and low BP
what sample do you sen to blood transfusion?

A

cross match 2 units

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10
Q

in an emergency what blood type should be transfused?

A

O negative

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11
Q

after 6 units of red cells are given and the bleeding doesn’t stop, what should be given afterwards?

A

fresh frozen plasma to try and stop the bleeding

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12
Q

after a massive haemorrhage, what blood tests should be done?

A

FBC
PT
APTT
Fibrinogen

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13
Q

after a massive haemorrhage, what further factors might need correction ?

A

pH
calcium
temperature

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14
Q

are blood group checked during pregnancy ?

A

yes

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15
Q

why are blood groups checked during pregnancy?

A

to avoid haemolytic disease of a new born

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16
Q

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?

A

chlorphenamine - antihistamine

17
Q

what is the threshold for haemoglobin for transfusion ?

A

70g/L

18
Q

do people with megaloblastic anaemia get transfused ?

A

not normally

19
Q

what is a way of increasing haemoglobin before a surgery?

A

oral iron

20
Q

if a patient is well but has a fever and hypertensive. what sort of transfusion reaction is this?

A

non-haemolytic transfusion reaction

21
Q

patient is breathless and has high pulse and BP and resp rate.
what is the transfusion reaction?

A

transfusion associated circulatory overload

22
Q

what is the management of transfusion associated circulatory overload?

A

stop transfusion
oxygen
furosemide

23
Q

what is the threshold for platelets for transfusion?

A

<50 count

24
Q

what is the threshold for platelets for transfusion for a patient on chemo?

A

<15 count

Y3 Haematology (14 decks)

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