Hemolytic Disease of the Freaking Newborn (Part 2)

Question 0

What type of blood should be selected for IUT?

Answer 0

Must be O Neg, washed cells with >80% HCT, compatible with mom’s serum, Ag Neg to moms Ab, “fresh”, irradiated, leukoreduced, CMV and HgbS Neg

Question 1

What are three indications for performing intrauterine transfusions?

Answer 1

• Amniotic fluid graphs in high zone II or in zone III
• PUBS indicates HGB level <10g/dL
• Fetal Hydrops is noted on ultrasound exam

Question 2

At birth, baby’s blood type may look like ____ _______ because 90% of circulation is transfused cells. _____ at birth may be mixed field positive, or possible neg

Answer 2

O Neg, DAT

Question 3

Cord blood work-up done if what 3 things are present?

Answer 3

Group O, Rh Neg, IAT Pos

Question 4

Cord blood work up

-Weak DAT Positive

Answer 4

ABO HDFN

Question 5

Cord blood work-up

-Strong DAT positive

Answer 5

Rh HDFN

Question 6

Elution is performed on cord blood to identify ______ coating cell

Answer 6

antibody