Transfusion Flashcards
Universal plasma DONOR type:
AB Positive
Universal Blood DONOR
O negative
Universal Plasma RECIPIENT:
O Negative
Universal Blood Recipient:
AB positive
What is the difference between typing and screening?
Type is ABO and RH -/+ only (5 minutes)
Screening checks the most significant antibodies (45 minutes)
What is the chance of blood reaction with typing alone?
0.2%
What is the chance of blood reaction with crossmatching
0.05%
Which blood product contains the highest amount of fibrinogen?
Cryoprecipitate
Which blood product carries the highest risk of bacterial contamination?
Platelets, because they are kept at room temperature
You should not use _____ when administering platelets
Blood warmer or filter
What does FFP contain?
All coagulation factors
Fibrinogen
Plasma proteins
What is FFP indicated for?
Reversal of warfarin
Coagulopathy
Massive Transfusion
DIC
Hereditary Angioedema
What does cryoprecipitate contain?
The four Fs:
Fibrinogen
Factor 13
Factor 8
vWF
What is cryo indicated for?
Fibrinogen Deficiency
vWD
Hemophilia
What is the calculation for MABL?
When should patients with significant CAD be transfused?
Hct < 28-30%
What is the normal transfusion threshold?
Hgb 6
If 6-10 and symptomatic
What is the EBV for a premature neonate?
90-100 ml/kg
What is the EBV for a full term neonate?
80-90 ml/kg
What is the EBV for an infant?
80 ml/kg
What is the EBV for an adult?
70 ml/kg
What is the hematocrit in a PRBC?
70%
Consequences of RBC storage include:
Decreased 2,3-DPG
Decreased pH
Increased K
Hemolysis
Proinflammatory mediator production
What does leukoradiation remove?
WBCs