Transfusion Flashcards
Autologus Donation - Interval for blood collection
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3 days
last blood collection should NOT be within 72 days prior to surgery
Anticoagulant - Apherisis
ACD
Plateletpheresis - Interval of Donation
at least 2 days
Platelets in 1 unit from plateletpheresis
3x10^11
Equivalent platelet unit from pheresis
6-10 units
Continuous Flow Centrifugation
involves withdrawal, processing and reinfusing of blood to individual simultaneously
do not involve cycles or passes
Apheresis machine that perform in cycles or passes
Intermittent Flow Centrifugation
Donor’s TP should be ____g/dl in PLASMAPHERESIS
> 6g/dL
JUMBO plasma
2 whole blood unit plasma
Therapeutic Cytapheresis
remove components that cause the disease
Prevent Sickle cell disease and Acute chest syndrome
Requirements - Erythrocytapheresis/Double RBC Apheresis
* Male
* Female
Requirements - Erythrocytapheresis/Double RBC Apheresis
* Male - 130 lbs/59 kg; 5’1; Hct 40%
* Female - 150 lbs/69 kg; 5’5; Hct 40%
Blood used for Emergency Transfusion
- Group O, Rh negative
- Type AB plasma
Blood Infusion - Cannula (gauge)
* Adults
* Pedia
Blood Infusion - Cannula (gauge)
* Adults - 18G (18-20)
* Pedia - 22G-24G
Used IV solution to dilute blood compoenents before transfusion
NSS (isotonic)
5% albumin
DO NOT USE: Ringer’s soln. and 5% Dextrose soln.
170 um
Clot screen filters
to remove gross clots and cellular debris
Temperature - Blood warmers
37C
Length of Transfusion
2-4 hours
Blood component are infused slowly for first 10-15 minutes - approximately ____________________ observe patient for transfusion reaction. Then increase administration.
slow drip (15 minutes) - fast drip
Blood component are infused slowly for first 10-15 minutes - approximately 2ml/minute for first 15 minutes observe patient for transfusion reaction. Then increase administration.
slow drip (15 minutes) - fast drip
Massive Transfusion
* Adults
* Infants
Massive Transfusion
* Adults: 8-10 units
* Infants: more than half a unit
Exchange Transfusion
Treat both anemia and hyperbiliribunemia in HDFN