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Final Exam
Blood Components
26
Science
Graduate
04/10/2013

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Term
Whole Blood (WB) preparation
Definition
hematocrit must be 40% and one unit contains 570 mL, made into components: red cells, platelets, plasma and cryoprecipitate, or can be irradiated to inhibit T cell proliferation.
Term
WB shelf-life
Definition
21 (ACD) or 35 (CPD) days depending on anticoagulant
Term
WB storage temperature
Definition
4°C
Term
WB indications for use
Definition
replace lost RBC and plasma volume, one unit raises Hct 3-5% or Hgb 1-1.5 g/dL, effects not seen until 48-72 hours post transfusion
Term
• Packed Red Blood Cells (pRBCs) preparation
Definition
centrifuged to remove plasma
Term
• pRBCs shelf-life
Definition
21(ACD),35 (CPD) or 42 days depending on anticoagulant
Term
• pRBCs storage temperature
Definition
4°C
Term
• pRBCs indications for use
Definition
increase RBC mass in patient that require increased oxygen carrying capacity, one unit raises Hct 3-5% or Hgb 1-1.5 g/dL.
Term
• Platelets (PLTs) preparation:
Definition
continuous agitation, sometime irradiated
Term
• PLTs shelf-life
Definition
5 days
Term
• PLTs storage temperature
Definition
20 C
Term
• PLTs indications for use
Definition
: patients with severe thrombocytopenia or abnormal platelet function
Term
• Factors preparation
Definition
F-VII prepared from pasteurization, solvent/detergent treatment and nanofiltration of plasma or recombinant DNA, F- IX prepared from pooled plasma using methods of separation and viral inactivation or recombinant DNA
Term
• Factors shelf life
Definition
1 years
Term
• Factors storage temperaturat -18°C for 1 year (at -65°C for 7 years), when thawed 24 hours e
Definition
: <-30 °C, thawed at 37°C
Term
• Factors indications for use
Definition
F-VII for patients with hemophilia A, F-IX for patients with hemophilia B
Term
• Fresh Frozen Plasma (FFP) preparation
Definition
frozen within 6-8 hours after collection, thawed to room temperature and then held for 24 hours,
Term
• FFP shelf life
Definition
at -18°C for 1 year (at -65°C for 7 years), when thawed 24 hours
Term
• FFP storage temperature
Definition
frozen within 8 hours of collection and stored at -18 °C , -65°C for 7 years, when thawed 1-6°C
Term
• FFP indications for use
Definition
treatment of liver failure, DIC, vitamin K deficiency, warfarin overdose or massive transfusion protocol
Term
• Cryoprecipitate (CRYO) preparations
Definition
thaw and centrifuge FFP
Term
• CRYO shelf life
Definition
12 months when frozen, 6 hours when thawed
Term
• CRYO storage temperature
Definition
frozen at -18°C and thawed at 20°C
Term
• CRYO indications for use
Definition
fibrinogen replacement (liver failure, DIC, massive transfusion, congenital fibrinogen deficiency) also as glue.
Term
• List which components can be prepared by apheresis
Definition
Components that can be prepared by apheresis are platelets, plasma, white cells, red cells and stem cells.
Term
• Evaluate clinical situations where apheresis can be used as a therapeutic tool.
Definition
The clinical situations where apheresis can be used therapeutically are in patients with Waldenstrom’s macroblobulinemia, Myasthenia gravis, Guillain-Barre syndrome, hyper viscosity syndrome, paraproteinemia, cryoglobulinemia, goodpasture’s syndrome, and myeloproliferative disorder with thrombocytosis, leukemia with leukocytosis and in stem cell harvesting.
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