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12 Cards in this Set
- Front
- Back
What is Autotransfusion? |
The process where a person received their own blood for a transfusion, instead of banked Allogenic blood. |
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2 types of Autotransfusion |
1) Pre donated autologously 2) Cell Salvage |
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Indications for Autologous blood? |
1) Cheaper 2) Religious reasons (JW) 3) Major Blood Loss Risks 4) Vascular/Cardiac Surgery 5) Liver Resections |
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5 Advantages of Autotransfusion |
1) Normothermic 2) Avoids Mismatch/Allergies 3) Avoids Infection risks 4) Quickly Available 5) pH relatively new normal 6) lower potassium |
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5 Disadvantages of Autotransfusion? |
1) infections 2) Contamination 3) wash removes platelets+ plasma 4) patient requires FFP + Platelets 4) diagnostic tests should be performed. |
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Process of intra-op Cell Salvage |
1) Collection 2) Storage 3) Centrifuge 4) Wash 5) Waste separation 6) processed RBC 7) Reinfusion |
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What products are washed out during cell salvage? |
1) platelets and plasma 2) white cells 3) Potassium 4) activation clotting factors 5) plasma bound antibiotics |
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Conditions for storage of Autologous blood? |
1) room temp: 4 hrs max 2) 1-6°c: 24hrs max |
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What is TOE? |
Live 3D ultrasound of the heart. Also allows Doppler evaluation. |
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TOE advantages |
1) can see air embolisms 2) clearer image 3) reduces weakness of ultrasound signal 4) allows view of the back of f heart |
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TOE Disadvantages |
1) Shared Airway fasted 3) longer to preform 2) patient must be fasted3) longer to preform4) requires sterile environment 4) requires sterile environment |
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TOE Indocations |
1) Heart Valve Conditions 2) Evaluate chest pain/ flow of blood throughout heart 3) Identify Times 4) Detect coronary artery disease 5) measure thickness of heart/ chambers 5) Assess damage after MI 6) Determine fluid collection around heart. |