Complications of Transfusion Flashcards
Red cells are stored at?
4 degrees celsius
Plasma cells are stored at?
-30 degrees celsius
Platelets are stored at?
22 degrees celsius
Based on their storage temperatures, which part of blood products are at the most risk for infection with something?
Platelets
Platelets are at the biggest risk to contain infection with?
Bacteria
What are signs that a transfusion product contains bacteria?
Fever and hypotension during transfusion
3 ways to avoid infected products?
Donor screening
Test products for many viruses, syphilis, etc.
Storage conditions
Acute Immune Hemolytic reaction occurs to other blood antigens. What antibody mediates this?
IgM
Who can A blood type donate RBC to?
A, AB
Who can A blood type donate plasma to?
A, O
Plasma contains what type of antibodies that affect who you can donate plasma to?
Anti-antigen antibodies
ex. Blood A can donate to any ANTI-B blood group
= A and O
Who can B blood type donate RBC to?
B, AB
Who can B blood type donate plasma to?
B, O
Who can AB blood type donate RBC to?
AB
Who can AB blood type donate plasma to?
A, B, AB, O
Universal donor of blood?
O
Delayed Immune Hemolytic reaction occurs with Rh- mothers and their second Rh+ child. What antibody mediates this response?
IgG
Mothers who are Rh-, after their second Rh+ child, contain what type of antibodies?
Anti-D (Rh)
If transfusion of red cells causes an anaphylactic reaction, what should be suspected?
IgA deficiency
What prevents Transfusion - related anaphylaxis with IgA deficiency?
Red cell washing
2 transfusion related phenomena?
TRALI - acute lung injury
TRIM - immune modulation
What is TRALI (acute lung injury)?
Acute respiratory failure during/after transfusion
Acute respiratory failure during/after transfusion
TRALI
Physical findings with TRALI (acute lung injury)?
Bilateral diffuse pulmonary infiltrates
Fever
Hypotension
- possibly fatal
What is TRIM (immune modulation)?
Pro-inflammatory response and immune downregulation after transfusion
Pro-inflammatory response and immune downregulation after transfusion
TRIM
TRALI and TRIM, are they understood?
NO