Module 5 - Blood Donations Flashcards

1
Q

Blood donations are considered…

A

a special collection

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2
Q

Why may blood donations be collected?

A
  1. For submission to a blood bank for use as needed by hospitals & other facilities
  2. Donate own blood for a transfusion or upcoming surgery
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3
Q

Define Autologous Transfusion

A

When a patient donates their own blood to be used for their future needs.

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4
Q

Where are most blood donations handled?

A

Most blood in blood donations is handled in blood banks.

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5
Q

What purpose does the blood bank serve?

A

The screening and release point for donor units & other blood products patients may need.

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6
Q

What place do blood banks closely work with to receive blood and blood products at request?

A

Regional blood centers

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7
Q

What facility often draws donor units?

A

Regional blood centers, but possibly a hospital’s blood bank.

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8
Q

What other procedure can blood banks do, other than getting donor units?

A

Perform therapeutic phlebotomy

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9
Q

Define therapeutic phlebotomy

A

Form of phlebotomy prescribed as patient treatment. It is the intentional removal of blood to lower RBCs.

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10
Q

What patients are prescribed therapeutic phlebotomy?

A

Those w/ polycythemia vera or hemochromatosis.

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11
Q

Define polycythemia vera

A

High red blood cell count due to bone marrow creating too many RBCs. It is a blood cancer.

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12
Q

Why is polycythemia vera dangerous?

A

The high RBCs thickens the blood, slowing its flow and making it more likely to create blood clots.

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13
Q

Define Hemochromatosis

A

A disorder where the body absorbs too much iron from food, causing a high iron count.

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14
Q

What is dangerous about hemochromatosis?

A

Extra iron is stored in the liver, heart, and pancreas. Making these organs more likely to develop health problems.

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15
Q

What should you ALWAYS ensure when doing blood bank collections? Why?

A

Ensure identification of patients is correct as incorrect identification can result in FATAL transfusion errors.

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16
Q

Steps to blood bank collections - Part 1

A
  1. Wash hands & don gloves
  2. Properly identify PT
  3. Perform venipuncture, using appropriate tubes
17
Q

Steps to blood bank collections - Part 2

A
  1. Label specimen w/ specific blood bank labels in front of PT
  2. Recheck info by comparing labels on tubes w/ patient armband or specific blood bank identification band
  3. Perform post-venipuncture patient care
18
Q

Steps to blood bank collections - Part 3

A
  1. Deliver specimens & blood bank requisition to blood bank or facility’s transfusion service ASAP
19
Q

What tubes would you use for blood bank collections?

A

Often a plain red-top tube & an EDTA tube // Always confirm by label

20
Q

When collecting blood for a blood bank, what should you do before venipuncture?

A

Ensure blood collection bags are hung lower than PT’s arm during collection. Gravity assists collection.

21
Q

What should you do if a blood collection bag only fills partially? What is an action you should NEVER do?

A

You may have to begin a new blood collection bag. Do not combine two bags.

22
Q

Define Apheresis techniques

A

Removal of blood plasma from a patient’s body w/o drawing blood itself. A process separating blood into plasma & cells, returning cells to the patient’s blood.

23
Q

What is another name of Apheresis techniques?

24
Q

Define Plasmapheresis

A

The removal of blood plasma from whole blood.
“plasma” -> plasma
“-pheresis” -> machine removes a part of blood, then returns it to body

25
What are the general requirements for blood donation?
1. Age at least 17 years old (16 w/ parental permission in some states) 2. Weigh 110 pounds at least 3. Donations 56 days apart
26
What are the general requirements when apheresis is performed?
1. Age 17 & older 2. Weight 130 pounds or greater 3. Height 61 inches or greater* Female specific: 1. Weight 150 or greater 2. Height 65 inches or greater
27
What requirements for apheresis are different for women?
1. Weigh at least 150 2. Height 65 inches or greater
28
What must be provided by every blood donor?
A complete medical history.
29
What would a provided medical history, by a potential blood donor, include?
Answers to questions about sexual activity, recent out-of-country travel, & use of medications.
30
What must be done on every potential blood donor before you start blood donation?
A physical examination including temperature, pulse, & blood pressure. In addition, hemoglobin or hematocrit levels are measured.
31
Define hematocrit
Percentage of RBCs in blood
32
If any levels of physical examination are out of range, such as blood pressure, can a potential donor still donate?
No.
33
Autologous refers to…
Self.
34
When a patient donates blood, they must have…
written order from provider + be in good health
35
Beforehand a potential blood donor must be tested for what?
HIV, AIDS, & hepatitis.
36
When it comes to hemoglobin, what is the minimum for an autologous blood donation?
At least 11 g/dL
37
When a patient performs a autologous blood donation. When can a surgical procedure be scheduled?
72 hours after the autologous blood donation
38
What can happen if autologous blood is not used during surgery?
Patient may have their blood transfused back into their body after procedure.