Test Bank Questions and Answers for Blood Transfusion and Blood Banking 100% Pass

Test Bank Questions and Answers for Blood Transfusion and Blood Banking 100% Pass things to worry about - Answers -hundreds of antigens on RBCs cant test for -tests for antibodies that are clinically significant -test for some anitbodies that are not usually clinically significant, but can complicate our work ups anitbody screen - Answers -doesnt tell you what the antibody is, just wrong, need to take addtional steps direct coombs test - Answers -takes patients red cells, anti-human globulin and IgG and RBC -then type and cross to find compatible blood sample requirements - Answers -sample good for 72, then need a new type and cross platelets - Answers -suspended in citrated plasma -stored at room temperature -very susceptible to bacterial growth and SHORTAGES!!! platelets apherisis - Answers -takes blood and takes platelets out, get more out, versus pooled platelet concentration indications for platelet need - Answers -prophylactic transfusions for PLT < 10000 -for invasive procedure trauma < 50,000 -rapidly falling plt count with bleeding -uremia -aspirin -post cardio-pulm bypass fresh frozen plasma - Answers -keeps in freezer for up to 1 year, then fridge for 24 hours, 30 minutes to thaw -1 unit/mL of ALL clotting factors including labile factors V and VIII -given in all clotting factor deficiency cryoprecipitate - Answers -cold insoluble white precipiatte that forms when FFP is thawed -only contains --> -80-150 units of IU F VIII: C (antihemophillic factor) -150 mg fibrinogen -vWf -fibronectin -factor XIII inidications- deficiency of fibrinogen, factor 9 or 13 and to improve platelet function in uremia transfusion reaction - Answers -i dont feel very well -back pain, kidney flank pain from damage that quickly -STOP transfusion and DO NOT restart -low BP -shortness of breath acute immune - Answers -hemolytic, febrile, non-hemolytic, allergic, anaphylaxis, TRALI acute non-immune - Answers -transfusion associated circulatory overload -septic shock/bacterial contamination hemolytic reaction - Answers -red cell incompatibility -usually clerical error -fever, chills, hypotension, DIC/oozing, hemoglobinuria, back pain -lots of fluid delayed immune - Answers -delayed homlytic, transfusion associatied GVHD -alloimmunization delayed non immune - Answers -iron overload, transfusion, transmitted disease febrile non-hemolytic transfusion reaction - Answers -accumulated cytokines in cellular products -fevel, chills, headache -diagnostic work up -acetaminophen