Blood Bank: Chapters 1 & 2 Flashcards
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Questions and Answers

What is the total blood volume in most adults?

10-12 pints

Donors replenish fluid lost from donation of ________ in 24 hours.

1 pint

A volunteer donor can donate blood every ______________.

8 weeks

A unit of blood contains approximately ____________ mL.

<p>450 mL</p> Signup and view all the answers

A 450 mL unit of blood contains up to _________ mL of anticoagulant/reservative.

<p>63 mL</p> Signup and view all the answers

What four components can be prepared from one unit of whole blood?

<p>Packed red cells, platelets, plasma, clotting factors (cryoprecipitate antihemophilic factor)</p> Signup and view all the answers

A shift to the left involves a decrease in _______________ which leads to an increase in Hb oxygen affinity.

<p>2,3-DPG</p> Signup and view all the answers

____________ are changes that occur to blood as it is stored.

<p>Lesion of storage</p> Signup and view all the answers

The following are examples of what: Decrease in pH from the increase in lactic acid, decrease in glucose consumption, decrease in ATP levels, decrease in 2,3-DPG?

<p>Lesion of storage</p> Signup and view all the answers

The proper storage temperature for liquid blood is:

<p>-1 to 6 C</p> Signup and view all the answers

Acid citrate dextrose, citrate phosphate dextrose, and CP2D all have a storage life of:

<p>21 days</p> Signup and view all the answers

Citrate phosphate adenine (CPDA-1) has a storage life of:

<p>35 days</p> Signup and view all the answers

Citrate chelates _____________ which prevents coagulation.

<p>Calcium</p> Signup and view all the answers

Adsol (AS-1), Nutricel (AS-3), and Optisol (AS-5) all have a shelf life of:

<p>42 days</p> Signup and view all the answers

AS-1 contains:

<p>SAGM with CPD</p> Signup and view all the answers

AS-3 contains:

<p>SAG with CP2D</p> Signup and view all the answers

Packed red blood cells have prepared to have a HCT of:

<p>Less than 80</p> Signup and view all the answers

___________ is the only FDA approved rejuvenation solution and is used on red cells within 3 days of unit expiration.

<p>Rejuvesol</p> Signup and view all the answers

The expiration time on a unit of washed blood is _________ to decrease the risk of bacterial contamination.

<p>24 hours</p> Signup and view all the answers

______________ is the most common cryoprotective agent used in red cell freezing.

<p>Glycerol</p> Signup and view all the answers

What are the two red cell freezing techniques?

<p>High glycerol technique, low glycerol technique</p> Signup and view all the answers

Units frozen using the high glycerol technique are stored at or below:

<p>-65 C</p> Signup and view all the answers

Frozen red cells are thawed at _________, deglycerolized and must be transfused within 24 hours.

<p>37 C</p> Signup and view all the answers

Frozen red cells may be stored for up to _________ before thawing and transfusing.

<p>10 years</p> Signup and view all the answers

_____________ are hydrocarbon structures in which all the hydrogen atoms have been replaced with fluorine.

<p>Perfluorochemicals</p> Signup and view all the answers

______________ are chemically inert, excellent gas solvents, and carry O2 and CO2 by dissolving them.

<p>Perfluorochemicals</p> Signup and view all the answers

Role of platelets in hemostasis includes what 3 things?

<p>Vascular integrity, plug formation, stabilization of plug (via fibrin formation)</p> Signup and view all the answers

What are the two methods for platelet concentrate preparations?

<p>Centrifugation, apheresis</p> Signup and view all the answers

This method is characterized by keeping a unit of whole blood at room temperature until platelets are removed, which must be done within 8 hours.

<p>Centrifugation</p> Signup and view all the answers

This method is characterized by drawing blood into a machine; platelets are removed and the remainder of blood is returned to the donor.

<p>Plateletpheresis</p> Signup and view all the answers

Platelets are stored at ____________ with continuous agitation for a maximum of five days.

<p>20-24 C</p> Signup and view all the answers

If PC are pooled into one transfusable product, the storage time changes to:

<p>4 hours</p> Signup and view all the answers

____________ is the only blood group system that is known to be X-LINKED.

<p>Xg A</p> Signup and view all the answers

DNA is composed of what four nitrogenous bases?

<p>Adenine, Guanine, Thymine, Cytosine</p> Signup and view all the answers

The outward expression or observation of a trait is referred to as the:

<p>Phenotype</p> Signup and view all the answers

The inherited genes themselves are known as the:

<p>Genotype</p> Signup and view all the answers

An ____________ is a gene that produces no detectable traits.

<p>Amorph</p> Signup and view all the answers

Study Notes

Blood Volume and Donation

  • Total blood volume in most adults ranges from 10 to 12 pints.
  • Donors can replenish fluid lost from the donation of 1 pint within 24 hours.
  • A volunteer donor is able to donate blood every 8 weeks.

Blood Components and Storage

  • A unit of blood contains approximately 450 mL, with up to 63 mL being anticoagulant or preservative.
  • Whole blood can be separated into four components: packed red cells, platelets, plasma, and clotting factors (cryoprecipitate antihemophilic factor).
  • The proper storage temperature for liquid blood is between -1 to 6°C.

Storage Lesions

  • Storage lesions refer to changes in blood that occur as it is stored.
  • These changes include decreased pH from increased lactic acid, decreased glucose consumption, decreased ATP levels, and decreased 2,3-DPG.

Blood Product Shelf Life

  • Various anticoagulant solutions have different storage lifespans:
    • Acid citrate dextrose, citrate phosphate dextrose, and CP2D last for 21 days.
    • Citrate phosphate adenine (CPDA-1) has a shelf life of 35 days.
    • Adsol (AS-1), Nutricel (AS-3), and Optisol (AS-5) last for 42 days.

Red Blood Cell Processing

  • Packed red blood cells are prepared to have a hematocrit (HCT) of less than 80.
  • Only FDA-approved rejuvenation solution for red cells is Rejuvesol, used within 3 days of unit expiration; units must be washed and transfused within 24 hours.
  • Expiration for washed blood is set at 24 hours to minimize bacterial contamination risk.

Cryopreservation and Freezing Techniques

  • Glycerol is the most common cryoprotective agent used for red blood cell freezing.
  • Two techniques for red blood cell freezing: high glycerol technique (most common) and low glycerol technique.
  • Units frozen with high glycerol are stored at or below -65°C and must be thawed within 24 hours at 37°C.
  • Frozen red cells can be stored for up to 10 years before thawing.

Perfluorochemicals

  • Perfluorochemicals are hydrocarbon structures with all hydrogen atoms replaced by fluorine, acting as chemically inert gas solvents capable of carrying oxygen and carbon dioxide.
  • They are being researched as potential blood substitutes.

Platelet Function and Preparation

  • Platelets play a crucial role in hemostasis, providing vascular integrity, forming plugs, and stabilizing these plugs through fibrin formation.
  • Two methods for platelet concentrate preparation include centrifugation and apheresis.
  • Centrifugation requires keeping a unit of whole blood at room temperature for up to 8 hours, ensuring a minimum of 5.5 x 10^10 platelets are available.
  • In apheresis, whole blood is drawn into a machine for platelet extraction, returning the remainder to the donor, and yields a minimum of 3.0 x 10^11 platelets, equivalent to 6-8 random donor platelets.

Platelet Storage and Pooling

  • Platelets are stored between 20-24°C with continuous agitation for a maximum of five days.
  • If pooled into one transfusable product, the storage time for platelets reduces to just 4 hours.

Genetic Concepts

  • The Xg A blood group system is the only one known to be X-linked.
  • DNA consists of four nitrogenous bases: adenine, guanine, thymine, and cytosine.
  • Phenotype refers to the observable expression of traits, while genotype denotes the inherited genes themselves.
  • An amorph is a type of gene that produces no detectable traits.

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Explore the key concepts of blood donation and volume with these flashcards covering Chapters 1 and 2 of the Blood Bank. Perfect for students and healthcare professionals alike, this quiz will help reinforce your understanding of essential blood bank terminology and practices.

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