Transfusion Medicine

Question 0

Classes of unstable angina?

Answer 0

Class I: new or worsened angina not at rest
Class II: angina at rest more than 2 days ago
Class III: angina at rest within the last 2 days

Question 1

Trali?

Answer 1

Transfusion related to immune mediated lung injury

Question 2

Primary angina versus secondary angina versus post infarction angina?

Answer 2

Without extra cardiac condition 
versus 
non-coronary precipitant (anemia, thyrotoxicosis, infection) 
versus 
within two weeks post MI

Question 3

Definition of anemia?

Answer 3

Hemoglobin <13 in men

Question 4

Indications for packed red blood cell transfusion?

Answer 4

Surgery, Anemia with an organ effects (syncope, angina), hemodynamic compromise

Question 5

Viruses that can be passed with transfusion?

Answer 5

Hepatitis B >hepatitis C >human T cell lymphocytic virus >HIV

Question 6

Acute hemolytic reaction to transfusion may present with?

Answer 6

Find pain, hemoglobinuria, fever, hypotension

Question 7

Each unit of packed red blood cells has how much volume? How much iron?

Answer 7

300 mL; 250 mg

Question 8

Cell savers?

Answer 8

Salvage intraoperative blood loss which is then transfused back into patient

Question 9

When to transfuse platelets? Each unit of platelets increases platelet count by?

Answer 9

Platelets <50,000 and bleeding

5000 - 10,000

Question 10

Often given to members or friends anticoagulation?

Answer 10

Fresh frozen plasma

Question 11

Treatment for patients with hemophilia and vW disease?

Answer 11

Cryoprecipitate

Question 12

The role of IVIG in patients with ITP? Anticipate adverse effect in which patients?

Answer 12

Block reticuloendothelial system and transiently elevated platelets

Patients with IgA deficiency – IVIg or FFP can cause anaphylaxis

Question 13

Laboratory results that are consistent with acute hemolytic reactions?

Answer 13

Elevated LDH, indirect bilirubin, and decreased haptoglobin