pretransfusion testing Flashcards

1
Q

who regulates blood product production and handling

A

FDA

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2
Q

who regulates pretransfusion testing

A

CMS- centers for medicare and medicaid

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3
Q

most common cause of transfusion mortality

A

TRALIs

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4
Q

another major concern for transfusion reactions

A

ABO incompatibility

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5
Q

clerical errors

A

phlebotomy/tech mismatched patient and specimen, issued wrong product, and/or administered to wrong patient

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6
Q

need 2 unique identifiers

A

name
date of birth
patient ID #/ MRN

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7
Q

if patient is unconscious can match through

A

band

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8
Q

specimen labeled

A

name
MRN
signature of drawer and witness if down by RN
Hollister number

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9
Q

reject a specimen if

A

gross hemolysis or IV contamination (don’t draw above line)

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10
Q

specimens good for

A

3 days

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11
Q

how long are specimen kept for after the 3 days

A

7 days

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12
Q

RBC donor unit recieved must have their

A

ABO/Rh type confirmed

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13
Q

universal type to give

A

O

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14
Q

universal plasma to give

A

AB

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15
Q

Plasma and cryo should be ABO typed but

A

crossmatching is not required

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16
Q

immunocompromised patients and infants and HLA units need units that are

A

irradiated

17
Q

patients with 2 types on file and a negative screen with no history of antibodies can receive

A

either an IS crossmatch or electronic crossmatch

18
Q

patients with a positive screen and/ or history of an antibody receive

A

AHG crossmatch

19
Q

when you issue a unit you must state

A

unit is negative for each specific antigen, compatible, and special testing done

20
Q

3 reasons AHG crossmatch incompatible

A

-IgG alloantibody present
-warm autoantibody present in plasma
-donor unit has a positive DAT

21
Q

what happens when you can’t go through pretransfusion?

A

-physican approval and signature
-O neg cells and AB plasma unit patient is typed from PRESENT sample
-once know type give that specific kind
-Rh pos to men and women over 50
-any product given should be crossmatched after

22
Q

massive transfusion considered

A

replaced entire blood volume
- within 3 hours
- more than 10 units in 24 hrs
-5 units in under a hour

23
Q

tech will have to be _____ during a massive transfusion

A

point person and keep tract of paper work and thaw plasma

24
Q

what tests are ordered after MTP is initiated

A

PT/aPTT
D-Dimer
Fibrinogen
CBC
CMP
T and Screen

25
Q

what is considered a cycle?

A

6 units type O-neg, 6 units type AB plasma, 1 platelet unit

26
Q

after a cycle

A

the point person will see if they want to continue

27
Q

neonatal transfusion

A

infant is front typed and antibody screened using maternal plasma

28
Q

AABB recommends for babies

A

type matched units OR type A or B cells AHG compatible

29
Q

at dyer for babies they receive

A

Pedi-Pak

30
Q

for baby crossmatching it is done using

A

maternal plasma

31
Q
A