Haematology- Practical Blood Banking Flashcards
What are some of the risks when transusing blood?
Wrong type of blood
TACO- transfusion associated circulatory overload
TRALI- transfusion-related acute lung injury
ATR- acute haemolytic transfusion reaction
Would you transfuse RBCs?
72-year old lady with haematemesis admitted to the acute medical assessment unit with a Hb of 106g/L.
No
->Hb is a useless guide to severity of anaemia
->
Would you transfuse RBCs?
76-year-old with Hb 54 g/L and
blood film consistent with megaloblastic anaemia.
No
->due to megaloblastic anaemia
Would you transfer RBCs?
48-year-old lady admitted for a planned hysterectomy with Hb of 95 g/L.
No
->bloods should be monitored weeks before, not just upon admission
->she’s probs iron deficient because of heavy periods??
->want to give iron supplements and return in a few weeks
idk these questions are so weird
Would you transfer platelets?
A patient on chemotherapy with platelets of 12.
Yes
->girl idk
Would you transfer platelets?
A patient with massive haemorrhage but no platelet results.
Yes
->don’t know platelet count but patient has likely brought a lot of blood so better just to give it
Would you transfer platelets?
A patient with disseminated intravascular coagulation (DIC).
No
->do not correct numbers by giving FFP?
Would you transfer FFP?
A bleeding patient on warfarin?
No
->cannot give enough FFP to correct coagulation factors and match enough blood before going into fluid overdrive
Would you transfuse FFP?
A bleeding patient with factor VIII deficiency.
No
->use factor VIII concentrate
What causes megaloblastic anaemia?
Vitamin B12 and folate deficiency
How long after removing component from the fridge should the transfusion be completed?
4hrs
List some of the symptoms of blood transfusion reactions.
Rigors
Chills
Anxiety
BP changes- hypo/hypertension
Resp. distress
Nausea/vomiting
Pain
Tachycardia
Flushing
Urticaria
Fever
Haemoglobinuria
