Hematology Transfusion Medicine Flashcards

1
Q

Transfusion of one unit of PRBCs raises

the hematocrit level by ….?

and the Hb level by ……?

A

HCT by 3%

Hb by 1 g/dl ( 10 g/L)

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2
Q

Platelet transfusions in neurosurgery or active bleeding

A

Plt < 100

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3
Q

Platelet transfusions in undergoing general surgery

A

Plt < 50

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4
Q

Platelet transfusions in acute promyelocytic leukemia

A

Plt < 30 - 50

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5
Q

Platelet transfusions to prevent spontaneous bleeding in most stable, afebrile patients

A

Plt < 10

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6
Q

Transfusion complications

A

Hemolytic reaction

Non hemolytic reaction

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7
Q

Hemolytic reactions

A

Acute ( fever , flank pain, hypotension, bleeding, DIC, hemoglobinuria,death)

Delayed ( 7-14 days after transfusion, +DAT )

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8
Q

Non hemolytic reactions

A
  1. TACO
    2.TRALI
    3.febrile
    4.allergic reaction
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9
Q

TRALI treatment

A

Supportive
O2
Mechanical ventilation

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10
Q

SOB, fever , Hypotension, no signs of volume overload

A

TRALI

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11
Q

TACO treatment

A

Diuretics
Slower rate of blood administration

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12
Q

Respiratory distress, elevated CVP, high BNP , pulmonary Odema

A

TACO

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