LC 10 Flashcards
How many days worth of blood should a blood bank have
3 days worth of blood
What does a donor questionnaire contain
- Birthday
- Age
- What they are feeling
- What medicine they took
Why physicians are required in a blood bank
- To ask the doctor for advice
- Always refer to the physician
Important steps before blood donation
- Hydrate the day before
- Eat salty snacks the evening before
- Get sleep the night before
- Eat breakfast in the morning
- Hydrate right before
Benefit of eating salty snacks
Increases blood volume
process used to ensure that the potential donation is not harmful in any way to the donor and final product provides maximum benefit to the intended patient
Donor Screening
4 Types of Donors
- Voluntary non-remunerated blood donor
- Family / replacement blood donor
- Paid “donor”
- Autologous donor
person who gives a replacement unit of blood only when family member or friend requires transfusion
Family / replacement blood donor
person who provides blood for money or other form of payment
Paid donor
a person who donates blood of his/her own free will and receives no payment for it
Voluntary non-remunerated blood donor
act that promotes voluntary blood donation to provide sufficient supply of safe blood and to regulate blood banks
RA 7719, National Blood Services Act of 1994
act of practice of medical technology
RA 5527
a patient who donates his/her blood to be stored and reinfused if needed during surgery
Autologous donor
to assess the sustainability of an individual to be a blood donor so that blood donation is safe for the donor and the blood products derived from this donation are safe for the recipients
Donor Selection Process
3 steps in the Donation process
- Educational Materials
- The Donor Health History Questionnaire
- The Abbreviated Physical Examination
contains information on the risks of infectious diseases transmitted by blood transfusion
Educational Materials
designed to ask questions that protect the health of both the donor and the recipient
The Donor Health History Questionnaire
includes blood pressure, pulse, and temperature readings; hemoglobin or hematocrit level and inspection of the arms for skin lesions
The Abbreviated Physical Examination
drugs for HIV
Antiretroviral Drugs
blood collection facilities that confirm donor identity and link the donor to existing donor records
Donor Registration
Important details in the donation registration form
- Name (First, Last, M.I.)
- Date and time of donation
- Address
- Telephone
- Gender
- Age or date of birth
Important details for Donor Registration
- Name (First, Last, M.I.)
- Date and time of donation
- Address
- Telephone
- Gender
- Age or date of birth
minimum age for allogenic donation
between 16 and 17 years
Difference of allogenic and autologous donation
- Allogenic - donation to others
- Autologous - donation to yourself
Permanent Deferral
- History of caner, leukemia or lymphoma
- History of cardiovascular, coronary, or rheumatic heart disease
- Received the following : Dura mater graft, Human-derived pituitary Growth Hormone, Corneal transplant
- CJD Patients
disease for bleeding tendencies
Hemophilia
disease for coagulation problems
Von Willebrand disease
disease for sickle shaped RBCs; spleen kills cells
Sickle cell Anemia
problem on the hemoglobin structure
Thalassemia
disease of immunocompromised patients; gastrointestinal problems
Kaposi’s sarcoma
overproduction of RBCs
Polycythemia
history of receiving clotting factor concentrates
Clotting Factor Deficiency
Parasitic Infections
- Babesiosis
- Chaga’s disease
Parasite (Babeiosis)
Babesia Microti
Parasite (Chaga’s disease)
Trypanosoma cruzi
Viral Infection
- HIV Infections
- Hepatitis Infection : Hepatitis B and C
Skin lesions that are not cause of deferral
- Poison ivy
- Other rashes
Temporary Deferral
- Malaria
- Syphilis
- Hepatitis
- Sexual Contat
- Tattoo and Body Piercing
- Vaccines (Live-attenuated)
Temporary Deferral for Malaria
3 years following treatment and being asymptomatic
Temporary Deferral for Syphilis
1 year after completion of therapy
Temporary Deferral for Hepatitis
1 year after discontinuation of close contact with person who has acute or chronic Hepatitis B
Temporary Deferral for Sexual Contact
1 year from time of sexual contact
Temporary Deferral for Tattoo and Body Piercing
1 year due to substances known to be sources of blood-borne pathogens
Temporary Deferral for Vaccines
- 2-week deferral - measles, mumps, oral, polio, typhoid or yellow fever
- 4-week deferral - German measles (rubella) or chickenpox
Factors considered for Physical Examination
- Weight
- Temperature
- Pulse
- Blood Pressure
- Hemoglobin
- Hematocrit
Physical Examination for weight
Maximum of 10.5 mL of blood/kg of donor weight for whole blood collection; 110 lbs
Physical Examination for temperature
Less than or equal to 37.5C
Physical Examination for pulse
50-100 bpm
*For athletes : 40-60bpm
Physical Examination for Blood Pressure
180/100 mmHg
Specific gravity for hemoglobin
1.053
Hemoglobin (sink/float)
- Sinks : greater than or equal to 12.5 g/dL
- Floats : less then 12.5 g/dL
Hematocrit
30% to 41% considering all types of donors
What is apheresis?
blood donation by donating only a single component of the blood
Materials for Bleeding Process
- Blood Pressure Cuff
- Squeeze Ball
- Blood Mixer
- Needle
Requirement for blood pressure cuff
40-60 mmHg
Blood Mixer
mixed periodically 1-2 times/minute or every 30-45 seconds
Needle for blood donation
- Gauge 16
- 20 degree angle
- Bevel up
- 1.5 inches for length
Amount of blood withdrawn
405-495 mL
Time period for blood collection for blood donation
7-10 minutes
Acid citrate-dextrose Storage Time
21 days
Citrate-phosphate dextrose Storage Time
21 days
Citrate-phosphate-double-dextrose Storage Time
21 days
Citrate-phosphate-dextrose-adenine Storage Time
35 days
Adsol Storage Time
42 days
Nutricel Storage Time
42 days
Optisol Storage Time
42 days
chelates calcium; prevents clotting
Citrate
maintains pH during storage; necessary for maintenance of adequate levels of 2,3-DPG
Monobasic sodium phosphate
substrate for ATP production (cellular energy)
dextrose
production of ATP
adenine
Storage for blood components
- Whole blood - refrigerated
- Platelet - room temp
- Plasma - frozen
Blood Screening Tests for donor blood
- HIV
- Hepatitis B & C
- Syphilis
- Malaria
Blood Donation Tests
- Whole blood
- Antibody
- HbsAg Strip Test
- HIV Cassette Test
- Anti-HCV Cassette Test
- Anti-TP Cassette Test
Blood Banking Equipment
- Blood Mixer
- Centrifuge
- Blood Storage Facility