Transfusion Medicine Flashcards

1
Q

Whole Blood

A

Contains both RBCs and Platelets
* use for acute hemorrhaging

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2
Q

Packed RBCs

A

Oxygen carrying capacity
* use for those anemic

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3
Q

Plasma

A

Increases circulating volume
* albumin
* coagulation factors
* platelets

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4
Q

Dog Blood Types

A
  • DEA 1.1 Negative - most common and antigenic / universal donor
  • DEA 1.1 Positive - universal recipient

Positive cant be given to Negative

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5
Q

Dog Blood Types - DEA 1.1

A

No occurring alloantibodies
* positive can be given to negative first time
* will develop antibodies and then can’t receive again - bad reaction

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6
Q

Feline Blood Types

A
  • A - most common
  • B - common in purebreeds
  • AB - very few
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7
Q

Feline Blood Types

Alloantibodies

A

Have naturally occuring antibodies
* cannot mix and match blood without serious reactions

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8
Q

Canine Blood Donors

A
  • At least 25 kg
  • PCV over 45%
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9
Q

Feline Blood Donors

A
  • At least 5 kg
  • PCV over 35%
  • Always indoor
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10
Q

Blood Typing

A

Dogs: not required for first transfusion
Cats: required before all transfusions

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11
Q

Canine Blood Typing

Agglutination Card

A

3 Wells/Sample Areas
* Positive will agglutinate
* Negative
* Patient’s sample - match it with above

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12
Q

Feline Blood Typing

Agglutination Card

A

2 Wells/ Sample Areas
* tests for A and B
* samples go into both wells
* whichever agglutinates is what type they are
* both agglutination = AB type

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13
Q

Crossmatching

A

Ideal to do for all transfusions
* checks that blood type was correctly chosen
* major vs minor

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14
Q

Major Crossmatching

A

Looks for reaction between donor RBCs and recipient plasma

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15
Q

Minor Crossmatching

A

Looks to see if donor plasma will interfere with recipient RBCs

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16
Q

Transfusion Indications

A
  • Pale MM
  • Cold extemities
  • Increased HR and RR
  • Lethargic
17
Q

Transfusion Administration

A

Needs to be given slowly for first 15-30 minutes
* watch for reaction
* then give faster if no reaction
* complete within 4 hours

18
Q

Transfusion

Increasing PCV

A
  • Whole Blood: 2 mL/kg for 1% increase
  • Packed RBCs: 1 mL/kg for 1% increase
19
Q

Transfusion Reactions

A
  • Fever - most common
  • TACO
  • Type 1 (allergic)
  • Type 2 (hemolytic)
20
Q

TACO

Transfusion

A

Transfusion-Associated Circulatory Overload
* fluid overloaded
* given too much