Blood Counts
What colour tube does a CBE go in
Purple/lavender
Haemophilia A results from a deficiency in which clotting factor?
A
The two most common causes of IDA in paediatrics are what?
Dietary intake (cows milk addiction)
Heavy menstrual bleeding
What fluids are compatible with blood products
Normal saline only
What is the best laboratory marker to assess iron deficiency?
Ferritin
What is the most important type of cell for bacterial defence
Neutrophil
Mucocutaneous
Name the two most common haemoglobinopathies in the Australian Paediatric population
Sickle Cell Disease
Beta thalassaemia
What is the most common transfusion reaction seen in paediatrics?
Febrile non-haemolytic transfusion reaction
A pulmonary embolus fits in to what category of thrombosis
Venous thromboembolism or VTE
What blood tests are included in a standard coagulation panel
PT/INR and APTT
Name two options for prophylactic management of Severe Haemophilia A
Hemlibra - Emicizumab
Factor replacement
Where does iron absorption take place in the body?
Small bowel by the endothelial cells
Name 2 IVIG products used in children
Privigen
Privigen AU
Kiovig
Octagam
Flebogamma
Gamunex
Name three up front treatment approaches for ITP
Watch and wait
Steroids - prednisolone
IVIG
What is the most common cell type to be incorrectly reported on a full blood count
Platelet count
Bonus points if you can say why?
Name two different Direct Oral Anticoagulants
Apixaban
Rivaroxaban
Edoxaban
Dabigatran
Name three complications of sickle cell disease
Acute pain episodes
Stroke
Acute chest syndrome
Sickle eye disease etc
What is the maximum duration for a single bottle of IVIG
4 hours
At what platelet count would a platelet transfusion be indicated in ITP
Trick - it is indicated for life and limb threatening bleeding
What are the 5 types of white cells which make up the white cell differential?
Neutrophil
Lymphocyte
Basophil
Eosinophil
Monocytes
What are the three components of Virchows triad
Stasis
Vascular injury
Hypercoagulability
What transfusion special requirements do children with haemoglobinopathies have?
Phenotype specific
In addition to baseline vital signs what other assessment should be documented Pre IVIG
rashes
What are the 6 Ps of arterial thrombosis
pain, pallor, pulselessness, perishingly cold, parasthesia, paralysis