Donor Collection, Testing, Labeling, Storage Flashcards
Standard 5.6.2.1
blood collection containers with diversion pouch shall be used for any collection of platelets, including whole blood, from which platelets are made
max collection volume
10.5 ml/kg body weight
density of whole blood
1.053 g/ml
what is done at first sign of donor reaction?
remove tourniquet, remove needle
treatment for syncopal donor reaction
raise feet above head
loosen tight clothing
aromatic spirits of ammonia
cold compresses
fainting or vasovagal syndrome are what kind of donor reaction?
syncope
treatment for nausea/vomiting donor reaction
breathe slowly and deeply if only nauseated
cold compresses
treatment for hyperventilation donor reaction?
breathe into paper bag
DO NOT GIVE OXYGEN
treatment for hematoma during donation
remove tourniquet and needle from donor’s arm
apply pressure with sterile gauze with arm above heart level
treatment for convulsions during donation
prevent donor from injuring themselves
maintain adequate airway
treatment or cardiac or respiratory difficulties during donation
call for emergency aid
begin CPR if in cardiac arrest
viability requirement for anticoagulants/preservatives
75% viable red cells at 24 hours post-transfusion
ACD expiration
21 days
CPD expiration
21 days
CP2D expiration
21 days
CPDA-1 expiration
35 days
additive solution expiration
42 days
AS-1 additive contains?
NaCl, dextrose, adenine, mannitol
Adsol is which additive solution?
AS-1
AS-3 contains?
NaCl, dextrose, adenine
Nutricel is which additive solution
AS-3
AS-5 contains?
NaCl, dextrose, adenine, mannitol
Optisol is which additive solution?
AS-5
which additive solution does NOT contain mannitol?
AS-3
lab tests performed on donor units
ABO/Rh hep B surface antigen anti-HBc anti-HCV anti-HTLV I/II syphilis NAT for viral RNA or DNA Chagas disease Babesia
most common serological screening test on donor units
enzyme immunosorbent assay and chemiluminescent assay
nonreactive EIA test on donor unit means what?
negative test
what is done if an EIA serological test on a donor unit is reactive?
repeat in duplicate
what is done if an EIA serological test on a donor unit is repeatedly reactive?
discard donor unit, confirmatory assays
nucleic acid testing is used for what donor testing?
HBC, HIV, HCV, ZIka
what type of testing may be “mini-pooled” in donor screening?
nucleic acid testing
are all donor units tested for CMV?
no
standard that requires correct labeling of blood and components
5.1.6A
requirements on ISBT label
name of component donor number name and quantity of anticoagulant name and address of collecting facility required storage temp expiration date and time ABO/Rh type volunteer or paid donor
directed donor donation requirements
same as allogeneic donor requirements
when can autologous blood be donated for surgery?
every 3 days up to 3 days before surgery
Hgb/Hct requirement for autologous donation
11 g/dl Hgb
33% Hct
expiration of pre-operative acute normovolemic hemodilution
8 hours from collection
expiration of intraoperative salvage donation
6 hours from collection
expiration of post-operative salvage
6 hours from collection
ratio of anticoagulant to blood in standard bag
14 mL anticoagulant to every 100 mL blood
what volume donation is required to be labeled low volume unit and used as packed cells only?
300-405 ml
