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20 Cards in this Set
- Front
- Back
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Immunohematology:
Criteria for Donor Selection |
Age- 17 yrs. min., no max
Temp- ≤ 37.5˚C or ˚≤ 99.5˚F BP- ≤ 180 syst., ≤ 100 diast. Hb- ≥12.5g% Hct- ≥38% Pulse- 50-100 beats/min. Weight- min. 110 lb / 50 kg |
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Immunohematology:
Donor Defferal - General |
1 year
Possible exposure to hepatitis, HIV or malaria 3 year Possible exposure to malaria (visitor/migrant/prev.diagnosis) Indefinite Defiinite disease or habits strongly associated with bloodborne pathogens |
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Immunohematology:
Donor Deferral - 1 year |
Hepatitis B Immune Globulin
Poss. exp. to hepatitis, HIV or malaria Tattoo Mucous membrane exposure to blood Skin penetration with instruments contaminated by blood/body fluids Sexual contact with symptomatic individual for any viral hepatitis, confirmed + for HBsAg / HIV or in high risk category After completed therapy for syphilis, gonorrhea or reactive STS Traveled to endemic area for malaria w/wo antimalarial drugs, free of symptoms > 72 hrs. in correctional institution *malarial parasites only in red cells, plasma preps exempt |
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Immunohematology:
Donor Deferral - 3 years |
Asymptomatic-
Visitor / migrant from area endemic for malaria Previously diagnosed with malaria *malarial parasites only in red cells, plasma preps exempt |
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Immunohematology:
Donor Deferral - Indefinite |
Viral Diseases:
Viral Hepatitis after age 11 + confirmatory test for HBsAg Repeatedly reactive test for anti-HBc Donated only unit to recipient who developed post transfusion hepatitis, HIV or HTLV Present/Past infection of HCV, HTLV or HIV Evidence of parenteral drug use Other Diseases: Received dura mater or pituitary growth hormone of human origin, family history of CJD or risk of vCJC History of Chagas' disease, babeiosis |
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Immunohematology:
Maximum Collection of Whole Blood |
no more than 10.5 mL of whole blood per kg. of body weight, including samples
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Immunohematology:
Wating Period for Whole Blood Donation |
56 days
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Immunohematology:
Common Blood Anticoagulants, Additives & Solutions |
CPD - anticoagulant
citrate, phosphate, dextrose 21 day expiration CPDA-1 - anticoagulant cpd & adenine 35 day expiration Additives(enhance rbc survival) contain dextrose, adenine, sodium chloride among others 42 day expiration Rejuvenating Solutions contain pyruvate, inosine, phosphate and adenine Restores 2, 3-DPG and ATP added during storage or up to 3 days after expiry can freeze unit or store at 1-6˚C if using within 24 hrs. (must wash cells before use) |
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Immunohematology:
Autologous Donations |
no age limit
Hct - 33%, Hb 11g/dL No bacteremia Must be labeled "for autologous use only" Segregated from allogenic units |
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Immunohematology:
(Autologous Only) Low Volume Donations Volume to Draw formula |
ex. 90 lb donor
(90 lb/110 lb) x 450 ml (standard) = 368 ml or (donor wt. in kg/50) x 450 |
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Immunohematology:
Low Volume Collections |
If 300-404 mL drawn, label as
Red Blood Cells Low Volume If < 300 mL drawn, adjust coagulant *components may not be made from these units |
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Immunohematology:
Amount of Anticoagulant for Low Volume Collections |
368 x 14% = amt. of anticoagulant
368 x .14 = 51.5 (52 ml) needed 63 (standard) - 52 = 11 ml to remove from primary bag into attached satellite bag prior to draw |
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Immunohematology:
Hemapheresis/Apherisis Criteria |
Donor criteria same as Whole
Waiting Period of 48 after apheresis to donate Whole max 500 mL (600 mL if > 175 lbs. Limits # of donor exposures |
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Immunohematology:
Hemapheresis/Apherisis Methods |
Centrifugation
Withdrawal of whole blood, remove selected fraction and remaining reinfused into donor Filtration removal of only plasma through a membrane Adsorption removal of only a selected constituent of plasma with reinfusion of remaining |
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Immunohematology:
Apheresis Types |
Cytapheresis - cells
Plasmapheresis - plasma Plateletpheresis - platelets Leukapheresis/ Granulocytapheresis - leukocytes/granulocytes |
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Immunohematology:
Donor Criteria for Apheresis |
Same as for Whole Blood
Age - 17 yrs. min. Temp. - ≤ 37.5 C or ≤99.5 F BP - ≤ 180 sys/ ≤ 100 dias Hct - ≥ 38%, Hb ≥ 12.5g% Pulse - 50 - 100 beats/ minute Wt. - min. 110 lb / 50 kg |
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Immunohematology:
Temperature Conversion US to metric Metric to US |
Tc = (5/9) x (Tf - 32)
Tf = (9/5) x Tc + 32 |
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Immunohematology:
Tests Performed on Donor Blood |
ABO
Rh Antibody Screens Syphilis Viral Diseases |
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Immunohematology:
Blood Components |
Whole Blood
RBCs Washed RBCs Leukocyte Reduced RBCs\ Frozen Cells Fresh Frozen Plasma Cryoprecipitate (Cryoprecipitated Antihemophilic Factor) Factor Concentrates - Factor VIII - DDAVP - Factor IX - Factor VIII - Factor VIII with vWF Platelets Granulocytes Irradiated Blood and Components |
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Immunohematology:
Whole Blood Use, Standards, and Storage |
Very Rarely Given
Severe Shock (Blood Loss ≥ 25% blood volume) Need RBCs for oxygen and Plasma for volume Hct - 80% 1-6˚C (Closed System) 21 days (CPD) 35 days (CPDA-1) 42 days (Additive) 1-6˚C (Open System) 24 hours |
