Blood Transfusion ABO Incompatibility
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Questions and Answers

What is the purpose of washing red blood cells with a series of saline solutions with decreasing osmolality?

  • To remove glycerol from the red cells (correct)
  • To remove leukocytes from the blood
  • To remove plasma proteins from the red cells
  • To remove residual plasma IgA from the blood

What is the primary indication for using washed red blood cells?

  • Patients with immunodeficiency disorders
  • Patients with leukemia
  • Patients with sickle cell anemia
  • Patients with anaphylactic reactions to plasma proteins (correct)

What is the primary purpose of irradiating red blood cells?

  • To prevent transfusion-associated graft vs.host disease (correct)
  • To remove leukocytes from the blood
  • To inactivate viral pathogens in the blood
  • To prevent the transmission of blood-borne pathogens

What is a disadvantage of using washed red blood cells?

<p>It is an open system (A)</p> Signup and view all the answers

What is the expected loss of red cells during the washing process?

<p>10-20% of the total volume (D)</p> Signup and view all the answers

What is the storage temperature for washed red blood cells?

<p>1-6°C (B)</p> Signup and view all the answers

What is a common sign of a transfusion reaction?

<p>Jaundice (A)</p> Signup and view all the answers

What type of antibody is involved in delayed hemolytic transfusion reactions?

<p>IgG (C)</p> Signup and view all the answers

What should be done immediately when a patient shows signs of a transfusion reaction?

<p>Stop the transfusion (A)</p> Signup and view all the answers

What is the primary mechanism involved in immune-mediated hemolytic transfusion reactions?

<p>Complement activation (A)</p> Signup and view all the answers

What is the typical time frame for acute hemolytic transfusion reactions?

<p>Within 24 hours (D)</p> Signup and view all the answers

What is the primary objective of rechecking the patient and blood unit ABO group?

<p>To ensure ABO compatibility (B)</p> Signup and view all the answers

What information is included on the labeling form/tag attached to the donor unit?

<p>Patient's full name, ID number, ABO/Rh, donor number, and compatibility results (A)</p> Signup and view all the answers

What is the most common contaminant found in blood bags?

<p>Yersinia enterocolitica (B)</p> Signup and view all the answers

What is the purpose of visually inspecting the blood unit before release?

<p>To detect bacterial contamination or clots (B)</p> Signup and view all the answers

What is the process of releasing a blood product to the nurse or physician?

<p>Comparing the requisition form, donor unit tag, and blood product label (D)</p> Signup and view all the answers

What should be done if the blood unit is unused?

<p>Return it to the inventory (C)</p> Signup and view all the answers

What is the minimum time a nurse must stay with the patient after the infusion of blood?

<p>15 minutes (D)</p> Signup and view all the answers

What is the purpose of using a filter during blood transfusion?

<p>To remove gross blood clots and cellular debris (D)</p> Signup and view all the answers

Why is it essential to infuse blood within 4 hours of its release from the blood bank facility?

<p>To prevent bacterial contamination (C)</p> Signup and view all the answers

What is the purpose of documenting the blood transfusion process?

<p>To verify consent and track any transfusion reactions (B)</p> Signup and view all the answers

What is the standard size of the filter used to remove cellular and plasma components from the blood?

<p>170-260 micrometers (A)</p> Signup and view all the answers

What is the consequence of infusing blood with 5% dextrose?

<p>Hemolysis in vivo (D)</p> Signup and view all the answers

What is the primary cause of Transfusion-Associated Graft Vs Host Disease?

<p>Immunocompetent donor lymphocytes (B)</p> Signup and view all the answers

Which of the following is a major complication of Transfusion-Associated Graft Vs Host Disease?

<p>Sepsis and hemorrhage (A)</p> Signup and view all the answers

What is the primary method of prevention for Transfusion-Associated Graft Vs Host Disease?

<p>Irradiation of blood products before transfusion (B)</p> Signup and view all the answers

What is the primary cause of Bacterial Contamination of Blood Products?

<p>Improper cleansing during collection (A)</p> Signup and view all the answers

What is the primary complication of Transfusion-Associated Circulatory Overload?

<p>Chronic Heart Failure (A)</p> Signup and view all the answers

What is the primary prevention method for Citrate Toxicity?

<p>Remove-plasma (D)</p> Signup and view all the answers

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