W5: Introduction to Blood transfusion

Question 1

Why do we do blood transfusion?

Answer 1

because it is a safe and effective way to correct any haematological defects or loss.

It is a form of supportive care.

Question 2

Jason is 17 years old boy, loves to exercise, no critical illness, sleeps for 7 hours a day. He wants to donate blood, but he got rejected. Why?

Answer 2

All the criteria is met but he is too young. The age to donate is between 18 to 60 years

Question 3

Mimmi just delivered a baby, can she donate blood?

Answer 3

No lah you crazy ah, she needs to gain back all the blood she loss during delivery.

Question 4

Last week Lilian was sick so her doctor prescribed antibiotics for her along with paracetamol, today she wants to donate blood, can she?

Answer 4

No she cannot because she had antibiotics in the last one week before she donate blood.

Question 5

Patrick is homosexual and enjoys having multiple sexual relationships, one day he decides to donate blood, can he?

Answer 5

No he cannot. He is at high risk of getting STDs so no.

Question 6

Life long banned from donating blood. These include patients with _______

Answer 6

Abnormal bleeding disorder
Asthma
Cancer
Thyroid disorder
Mental disorder
Insulin dependent
Heart, Kidney , Liver disorder
Uncontrolled high BP

Question 7

Who is banned for 1 year from donating blood?

Answer 7

People that just got surgery
People got unexplained blood loss
People got continuous low grade fever
People got dog bite

Question 8

Who is banned for 6 months from donating blood?

Answer 8

Peeps that just got tattoo
Dental extraction
Vaccination
Malaria 
Root canal treatment

Question 9

Huee Li likes to donate blood at blood donation drive, what type of donor is she?

Answer 9

Voluntary donor

Question 10

Jackie requires frequent blood transfusion. To ensure the supply doesn’t deplete, his sister Marie donates blood every 3 months for him. What type of donor is Marie?

Answer 10

Replacement donor

Question 11

Lisa needs to undergo a massive surgery, so to prevent risking getting blood borne infections or blood loss during surgery, she donates her own blood before surgery. What type of donor is Lisa?

Answer 11

Autologous donor

Question 12

Stephanie wants to donate her platelets. She donates her blood first and the blood is separated into specific components just to collect the platelets. The rest of the components are then re-introduced back to Stephanie. What type of process is this?

Answer 12

Apheresis

Question 13

Name the 3 advantages of being an autologous donor:

Answer 13

1. Prevent adverse reaction
2. if you got rare blood group, not afraid of not finding the same blood group
3. Stimulate the bone marrow before surgery (because you loss blood cell so bone marrow activated ya know reticulocytosis)

Question 14

Before we transfuse blood to the recipient, we need to check the blood. What to check?

Answer 14

• expiry date
• ensure the blood group matches
• ensure it is the right patient

Question 15

____ clinicians need to complete the pretransfusion check.

Answer 15

Two clinicians and also they must check individually.

Question 16

How do we monitor the patient during blood transfusion?

Answer 16

• check vital signs at all times
• look out for adverse signs such as fever, flushing, urticaria, dyspnoea, hypotension etc.
• After transfusion we do FBC to check the condition of the patient

Question 17

Who needs blood transfusion?

Answer 17

• mom with postpartum haemorrhage
• blood loss due to trauma
• Bleeding and coagulation disorder
• bone marrow failure
• Rh incompatibility in newborn
• Major surgery (just in case got major bleeding)
• organ transplant