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8 Cards in this Set

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  • Back
How does RhoGam work?
RhoGam binds and hemolyzes any D-Positive Fetal RBC's in Moms Circulation.
.3mg (or 300ug) IM = 15 ml of fetal RBC's
What are the indications for giving RhoGam?
28 wks to a Rh- mom
Amniocentesis
Ectopic pregnancy
Third trimester bleeding
First trimester D&C
Which test is performed in order to determine how much RhoGam to give?
Kleinhaur Betke Test (KB)- Determines amount of Fetal RBC's circulating in mom
What is the time cutoff for giving RhoGam?
Must give in w/in 72 hrs of cross contamination
How is fetal anemia determined?
Amniocentesis - Liley graph/Bilirubin
U/S - MCA velocity
PUBS - H/H
At what point do we treat fetal anemia?
Amniocentisis - Zone III on Liley graph
(elevated bilirubin)
PUBS - Hct <25%
How do we treat fetal anemia?
>34 wks = Deliver
<34 wks = PUBS transfusion
What is hemolysis called in the Fetus? the Newborn?
Fetus - Erythroblastosis Fetalis
Newborn - Hemolytic Disease of the Newborn