Transfusion Medicine--Krafts Flashcards

1
Q

T/F We are born with antibodies against the blood antigen we do no present

A

T

these antibodies are (oddly) expressed at birth and present throughout life

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2
Q

In what circumstance do you use whole blood?

A

massive hemorrhage

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3
Q

When do you use RBC transfusions?

A

severe anemia

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4
Q

When do you use leukoreduced RBCs?

A

alloimmunized individuals or those allergic to blood products

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5
Q

Why is some red blood frozen?

A

very rare blood types

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6
Q

When are granulocytes infused?

A

severe neutropenia and those with severe and unresponsive infection

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7
Q

When do you give platelets?

A

thrombocytopenia

not just bleeding, only bleeding due to low platelets

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8
Q

What is in fresh frozen plasma?

A

everything!

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9
Q

Why do you give albumin?

A

severe kidney failure, helps retain fluids

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10
Q

When is IvIg necessary?

A

disease prophylaxis

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11
Q

Forward typing is performed on whose blood?

A

patient and donor blood–determine antigens present on surface

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12
Q

How is reverse typing done?

A

taking patient’s own antibodies (serum) and reacting them with reagent red cells (known antigens) to see if there is clumping

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13
Q

When do you do an antibody screen?

A

only in patients who are exhibiting blood reactions and have multiple blood exposures

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14
Q

What is an antibody screen?

A

looking for weird antigens

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15
Q

What is a cross-match?

A

using patient’s serum to see if it reacts with the donor RBCs

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16
Q

Acute hemolytic transfusion reactions: most probably cause

A

clerical error

17
Q

What is the most common cause of delayed hemolytic transfusion reaction?

A

usually Rh incompatibility in sensitized individuals

18
Q

What lyses cells in acute hemolytic transfusion reactions?

A

complement

19
Q

What lyses cells in delayed hemolytic transfusion reaction?

A

extravascular hemolysis in spleen

20
Q

What test can you do to find if there is suspected acute or delayed hemolytic transfusion reaction?

A

DAT+

21
Q

What causes febrile non-hemolytic transfusion reaction?

A

antibodies against donor white cells

22
Q

What causes allergic reaction to transfusion?

A

antibodies to donor proteins

23
Q

How to treat mild allergic reaction to transfusion?

A

stop, give antihistamine, restart blood

24
Q

What causes circulatory overload?

A

too much fluid too fast

25
Q

How do you treat iron overload?

A

chelation

26
Q

When do you worry most about graft-vs-host disease?

A

bone marrow transplant

27
Q

What do you worry about biologically when a family member donates tissue to another family member?

A

graft vs. host disease

host doesn’t recognize graft as foreign but graft recognizes host as foreign, ATTACK!

28
Q

Biggest infection risks?

A

bacterial

29
Q

Least infection risks?

A

Hep-C and HIV

30
Q

Medium infection risk?

A

Hep-B

31
Q

Most common transfusion reactions?

A

allergic and febrile