Component Preparation Flashcards
Time for whole blood collection (450-500 mL).
8 to 12 minutes.
Time to reject blood unit if clotting occurs during collection.
12 minutes or above.
Temperature for blood bank refrigerator storage.
1-6°C (QC: 1.5 to 5.5°C).
Temperature for storage of platelet concentrate.
Room temperature (20-24°C) with continuous agitation.
Storage temperature for plasma-containing components.
Frozen at -20°C or colder.
Time for soft spin centrifugation.
3000/3200 rpm for 2-3 minutes.
Time for hard spin centrifugation.
3500-3600 rpm for 5 minutes.
Storage period for blood components with AS-1, AS-3, AS-5, AS-7 additives.
42 days.
Rejuvenation solution used for RBC regeneration in the US.
Rejuvesol.
Time to submit whole blood collected at 1-6°C.
Within 24 hours.
Time to submit whole blood collected at 20-24°C.
Within 6 hours.
Temperature for RBC components during transport.
Wet ice.
Transport requirement for platelet and WBC components.
Without ice.
Time for processing and centrifugation of whole blood for PRP and RBC components.
2 to 3 minutes (soft spin).
Time for platelet poor plasma centrifugation.
5 minutes (hard spin).
Needle size for blood collection.
16 gauge needle.
Blood storage requirement for red blood cells post-transfusion.
More than 75% RBC survival within 24 hours.
Allergy to iodine: alternative antiseptic.
Chlorhexidine gluconate solution.
Allergy to iodine and chlorhexidine: alternative antiseptic.
70% isopropyl alcohol.
Time for rejuvenation of RBCs with solution after outdating.
1-4 hours at 37°C.
Fresh Whole Blood volume for preparation.
450-500 cc
Platelet Rich Plasma volume for preparation.
200-250 cc
Platelet Poor Plasma volume for preparation.
200 cc
Platelet Concentrate volume for preparation.
50-70 cc
PRBC volume for preparation.
200-250 cc
FFP volume for preparation.
200 cc
Cryosupernate volume for preparation.
180-200 cc
Cryoprecipitate volume for preparation.
15-20 cc
Storage condition for Platelet Concentrate.
Room temperature with agitation (3-5 days)
Storage condition for Fresh Frozen Plasma.
Freezer temperature
Components in Cryoprecipitate.
FVIIIc, FI (fibrinogen), FXIII, vWF, fibronectin
Storage condition for Cryoprecipitate.
Freezer temperature
Components in Cryosupernate.
Same as FFP but decreased in FVIIIc, FI, FXIII, vWF, fibronectin
Procedure for Cryoprecipitate preparation.
Slow cold thawing process of Fresh Frozen Plasma
Platelet agitation duration for storage.
3-5 days
Method for separating Platelet Rich Plasma.
Soft spin
Method for separating Platelet Poor Plasma and Platelet Concentrate.
Hard spin
Method of Leukocyte Removal.
Centrifugation, Washing procedures (using saline or glycerol), Mechanical separation using leukoreduction filters
First generation leukoreduction filters size.
170 um
Second generation leukoreduction filters size.
20-40 um
Third generation leukoreduction filters size; removes 99.9% of WBC.
3-log filter
Components able to pass through leukoreduction filters: standard filter of 170-200 um.
Normal platelets, normal RBCs
Components removed by (microaggregate) leukoreduction filters; 20-40um.
Fibrin clots, giant platelets, macrocytes, large RBCs, large WBC fragments, most white blood cells
Leukoreduction Definition.
Removal of white blood cells (WBCs) from blood or blood components prior to transfusion
Residual WBCs per each whole blood or red blood cells after leukoreduction.
<5 x 10^6 WBCs
Residual WBCs per each platelet derived from whole blood after leukoreduction.
<8.3 x 10^5 WBCs
Recovery of original component after leukoreduction.
> 85% of original component must be recovered
Leukoreduction Categories - Pre-storage.
Performed shortly after collection
Leukoreduction Categories - Post-storage.
At the patient’s bedside
Leukoreduction Filters Usage.
Microaggregate filter or leukoreduction filter
Device designed to count WBCs at exceptionally low levels for leukoreduction quality control.
Nagoette Chamber
Instrument used in leukoreduction quality control to count WBCs at low levels.
Flow Cytometer
Purpose of irradiation in transfusion?
Prevents transfusion-associated GVHD by inactivating T cells; expires in 28 days.
Minimum gamma radiation dose?
25 Gy (central); 15 Gy (any part).
Radioactive sources for irradiation?
Cesium-137 or Cobalt-60.
Irradiation quality control method?
Radiographic film label darkening.
Purpose of washing blood components?
Removes extracellular solution to prevent FNHTR, TRALI, and allergic reactions.
Storage for washed RBCs?
1–°6C, up to 24 hours.
Storage for washed platelets?
20–24°C, transfuse within 4 hours.
Indications for washing?
Allergic reactions, antibody, and substance removal.
Purpose of pooling blood components
Allows multiple blood components to be transfused in a single event.
Pooling of multiple RBC units
Not typically performed; other product types may be pooled.
Reconstituted whole blood composition
Type O RBC + AB plasma; used for neonatal exchange transfusions.
Expiration time for pooled products
4 hours.
Maximum storage duration for frozen RBCs
10 years.
Cryoprotective agents in RBC freezing
Penetrating (e.g., dimethylsulfoxide) and nonpenetrating (e.g., hydroxyethyl starch) agents.
Initial freezing temperature for high glycerol RBCs
-80°C.
Freezer type for high glycerol RBCs
Mechanical freezer.
Maximum storage temperature for high glycerol RBCs
-65°C.
Shipping requirements for high glycerol RBCs
Dry ice with 40% glycerol.
Freezing temperature for low glycerol RBCs
-196°C in liquid nitrogen.
Storage temperature for low glycerol RBCs
-120°C in liquid nitrogen (20% glycerol).
Saline concentrations used in deglycerolization
First: 12% saline; Second: 1.6% saline; Third: 0.09% saline with 0.2% dextrose.
Adjustment for sickle cell trait donors during deglycerolization
1.6% saline step is omitted.
Method for glycerol removal in a closed system
Automated removal of glycerol.
Expiration of deglycerolized RBCs in AS-3 at 4°C (automated closed system)
14 days.
Advantages of RBC freezing
Long-term storage, maintenance of RBC viability and function, low residual leukocytes and platelets, removal of significant plasma proteins.
Disadvantages of RBC freezing
Time-consuming process, higher cost of equipment and materials, storage requirements (-65°C), higher cost of products.