Blood consists of what
Cells
Jelly
Plasma
White Cells are called
Leucocytes
Erthrocytes
Thrombocytes
What is plasma?
A straw coloured fluid that contains Water, potassium, sodium and proteins
A Red coloured fluid that contains water, potassium and sodium.
Whats the shelf life of Red Cells
30 days
35 days
20 days
How long can platelets be kept at room temperature?
3 days
5 days
8 days
What temperature is Fresh Frozen plasma kept at?
-10 oC
-30 oC
-20 oC
Who needs irradiated blood?
Stem cell and marrow transplant recipients or potential candidates
Everyone
Patients with Hodgkin's Lymphoma
Patients taking certain chemotherapy agents such as fludarabine that inhibit cellular immunity
Patients receiving blood from a first-degree relative
How many genetically determined blood groups systems are there?
30
25
20
The main groups tested for are?
A
B
C
O
Rh
The four different combinations for blood groups are
A Antigen
A and B antigen
B and C Antigen
B Antigen
Neither Antigen
If a patient has B group blood what blood can they receive?
AB
4% of people are what blood group?
What is cross matching
Looking at patients red cells and seeing if they match
Serological testing between patient serum/plasma and donor cells prior to blood issue
Looking for the crosses in a patients blood
What are the safety regualtions in place for blood transfusion?
National Patient Safety Agency
SHIRT
Blood Safety Law
SHOT
When do things go wrong with transfusions?
In the laboratory
Labelling of blood products
When wards are busy
Surgical emergencies
Which of the following must be checked prior to the adminstration of blood?
Wrist band
Consent of the patient
Observations of the patient
The patients blankets are the correct colour
Prescription
Correct documentation for the blood product
When should you check a patients blood pressure after commencing blood?
Every 5 minutes for 30 minutes then every hour until complete
After 15 minutes then every hour for the whole transfusion then again once this is complete
Every 10 minutes for 2 hours then again once the infusion is complete
What symptoms would a patient experience when having an adverse reaction from a blood transfusion?
Agitation
Pain at cannula site
Flushing
Oozing from the wounds
What are the signs of a blood transfusion reaction?
Fever
Hypotension
Oozing from wound sites
Haemoglobinuria
Shouting
What should you do when someone has an adverse reaction?
Change the giving set and adminster normal saline
Maintain clinical observations
Inform the medical team in charge of the patients care
Panic
Check paperwork and inform the laboratory
Return the blood bag/adminstration set to the laboratory
Where can you find out information about giving blood?
The local vampire group
www.blood.co.uk
