Clinical Pathology and Transfusion Medicine Quiz
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Questions and Answers

What is the impact of maximizing ATP synthesis in red cells on their survival?

  • It decreases red cell survival
  • It has no effect on red cell survival
  • It increases red cell survival (correct)
  • It depends on the type of anticoagulant used
  • Which anticoagulant solution is used to prolong the life of red cells and minimize storage lesions?

  • Citrate (correct)
  • Oxalate
  • EDTA
  • Heparin
  • How does the use of anticoagulant solutions contribute to minimizing storage lesions in red cells?

  • By increasing calcium levels in red cells
  • By promoting clot formation in red cells
  • By inducing degradation in red cells
  • By supporting metabolic activity of red cells (correct)
  • What is the shelf life of blood components with red cells after considering 21 days with CPD and ACD anticoagulants?

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

    What is the function of citrate as an anticoagulant in blood preservation?

    <p>To bind to calcium through chelation, inhibiting calcium-dependent steps</p> Signup and view all the answers

    Study Notes

    Impact of Maximizing ATP Synthesis in Red Cells

    • Enhancing ATP synthesis in red blood cells (RBCs) improves their energy levels, supporting membrane integrity and function.
    • Higher ATP levels contribute to better cell survival by maintaining ion gradients and flexibility, crucial for navigating capillaries.
    • Improved ATP synthesis can increase the lifespan of red cells in circulation, reducing the risk of hemolysis.

    Anticoagulant Solutions for Red Cell Storage

    • Citrate Phosphate Dextrose (CPD) and Acid-Citrate-Dextrose (ACD) solutions are commonly utilized to prolong the life of red blood cells.
    • These anticoagulants prevent clotting during storage, helping maintain red cell viability for transfusion.

    Contribution of Anticoagulant Solutions in Minimizing Storage Lesions

    • Anticoagulant solutions help mitigate storage lesions by offering nutrients and maintaining pH balance during storage.
    • They reduce the accumulation of metabolic byproducts, which can lead to cell damage over time.
    • By promoting better energy utilization and metabolic processes, these solutions support the preservation of red cell functionality.

    Shelf Life of Blood Components with Red Cells

    • Blood components containing red cells typically have a shelf life of 21 days when using CPD or ACD anticoagulants.
    • Extensions in storage time can vary based on specific conditions and additives, but standard practices observe this 21-day limit.

    Function of Citrate as an Anticoagulant

    • Citrate acts as an anticoagulant by binding calcium ions, which are essential for the coagulation cascade.
    • This action effectively inhibits thrombus formation, allowing for the safe collection and storage of blood products.
    • Citrate also contributes to maintaining a suitable environment within the blood bag, preserving red cell viability.

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    Description

    Test your knowledge of clinical pathology and transfusion medicine with this quiz. Delve into topics such as blood preservation, component preparation, red cell survival, and ATP synthesis. Sharpen your understanding of maximizing ATP synthesis to increase red cell survival and extend the shelf life of blood components.

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