Lesson 4 Flashcards

1
Q

Caused by either RHO or ABO incompatibility

A

Hemolytic Disease of Newborn

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2
Q

There’s a problem in the Rhesus Factor

A

RHO Incompatibility

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3
Q

There’s a problem in the blood group

A

ABO Incompatibility

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4
Q

Mothers produce _____ to destroy the RBCS of fetus

A

Antibodies

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5
Q

Hemolysis results in ???

A

Fetal Anemia
Hyperbillirubinemia

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6
Q

Occurs when frtal red bloods which possess an antigen that the mother lacks

A

Hemolytic Disease

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7
Q

Crosses the placenta into maternal circulation, where they stimulate antibody production

A

Hemolytic Disease

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8
Q

The antibodies return to the fetal circulation and result in ________

A

RBC destruction

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9
Q

Called as the continue abortion; 3 or more pregnancy loss due to RH Incompatibility

A

Habitual Abortion

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10
Q

Differential Diagnosis of Hemolytic Anemis in Newborn Infant

A

Isoimmunizatiln
RBC enzyme disorder
Hemoglobin synthesis disorder
RBC membrane abnormalities
Hemangiomas
Acquired condition

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11
Q

Types of Isoimmunization

A

ABO Incompatibility
RH Incompatibility

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12
Q

Occurs when maternal blood type is O and fetus is blood type A, B, AB

A

ABO Incompatibility

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13
Q

Most common blood type

A

Type A

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14
Q

Most serious blood type

A

Type B

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15
Q

Rare blood type

A

Type AB

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16
Q

It destroys fetal RBCS

A

Maternal antibodies

17
Q

Generally less severe than RH disease

A

ABO Incompatibility

18
Q

Laboratory findings for ABO Incompatibility

A

Microspherocytosis
MCV <95, microcytic for newborn
Direct Coombs Test is often weakly +

19
Q

Blood prep for a mother with ABO Incompatibility

A

Type O Rh Negative packed RBCs

20
Q

ExTx means

A

Partial Exhange Transfusion

21
Q

Anticipate need for later ExTx for __________

A

Hyperbillirubinemia

22
Q

What should you give if a baby is preterm

A

Surfactant

23
Q

It used for immediate drainage of hydropic fluid

24
Q

Assisted ventilation with oxygen. If ventilation is difficult, drain _________

A

Pleural and Ascitic Fluid

25
In paracentesis, take care to avoid puncturing the
Enlarged lived abd spleen
26
Insert _______ and _____, to immediately measure blood pressures, arterial ph, blood gas tensions, hematocrit, blood sugar
Umbilical arterial Venous Catheter
27
Essential for effective resuscitation
Correct anemia
28
Do not infuse packed RBC or blood through __________ because of risk of damage to spinal cord from emboli
UAC
29
Due to CA++ binding by citrate
Hypocalcemia
30
It particularly after ExTx, due to dextrose load from anticoagulant of donor blood and hyperinsulinism in HDN
Hypoglycemia
31
It occurs especially with older units of blood
Hyperkalemia
32
Associated with inadequate warming of blood
Hypothermia
33
A protein antigen present on the surface of some people's RBC (Rh+)
RH (D) factor
34
It is the exposure of Rh- blood to Rh+ blood resulting to production anti-Th abs
Rh Sensitization/ Rh isoimmunization
35
Rh sensitization can occur through
Sensitization from previous pregnancy Inadequate response to prophylaxis Incompatible blood transfusion
36
Rh Sensitization can occur thru:
Senstization from previous pregnancies Inadequate response to prophylaxis Incompatible blood transfusion
37
Insignificant amount of antibodies are formed during pregnancy, thus ____ baby is not greatly affected
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