Transfusion Medicine

Question 1

What is the universal donor type for red cells vs. plasma?

Answer 1

• Red cells = O negative
• Plasma = AB

Question 2

Pt is chronically ill and symptomatically anemic (SOB, chest pain, tachy) with Hgb <7, what do you transfuse?

Answer 2

1 unit of red cells –> anticipate Hgb ↑ 1

Question 3

Non-trauma patient has significant chronic coagulopathy; what do you transfuse?

Answer 3

Give 1 unit of FFP

Question 4

Pt needs emergent warfarin reversal (i.e., elderly pt w/ expanding subdural hematoma and INR =3); what do you transfuse?

Answer 4

Give PCC

Question 5

Which blood type does this forward and reverse type result indicate?

Answer 5

Type O-

Question 6

What does this forward and reverse type result indicate about the type of blood?

Answer 6

This is AB+ blood

Question 7

What is this patients blood type?

Answer 7

A positive

Question 8

What are 2 risks when transfusing red cells?

Answer 8

Transfusion reactions 2/2 ABO incompatibility and alloimmunization

Question 9

Which type of transfusion reaction is of greater risk with plasma transfusion (FFP)?

Answer 9

Allergic rxns

Question 10

In trauma patient who is hemodynamically unstable (per vitals) what do you transfuse?

Answer 10

1:1 ratio of red cells to plasma