Chemistry Class
This by-product is released when hemoglobin is broken down, and it is eliminated with the help of bile from the gall bladder.
What is Bilirubin?
This cell increases with stress, inflammation, trauma and infection.
What is the WBC?
A labeled specimen with the patient name, MRN and blood bank number as well as time, date and username of person who drew/labeled specimen
What is a proper labeled specimen for blood bank?
The face sheet of the patient (Name and MRN) and the blood bank number
What is needed when picking up blood product from the blood bank?
The final rate of a PRBC transfusion for a 50 kg child.
What is 250 ml/hr?
Normal levels of this ion excreted in the urine, that assists in transmission of nerve impulses and maintains osmotic pressure are 135-145mEq/L.
What is Sodium (Na)?
This value represents the percentage of the total blood volume that is made up of erythrocytes (RBCs) and is typically lower in females.
What is the Hematocrit (37-52%)?
The steps taken when a transfusion reaction is suspected?
What is SLAPP?
Stop transfusion, Leave in IV, Assess reaction/call MD, Paperwork/Labs, Product return to Blood Bank
Examples include delayed Hemolytic reaction, infection, fever, allergic reaction, air emboli, alloimmunization and circulatory overload.
What are potential transfusion reactions?
Hemolyzed sample, dehydration and acidosis.
What are reasons for increased Potassium levels?
These immature WBCs are the first released from the bone marrow into the blood stream and can be indicative of the return of bone marrow function
What are Bands?
Reading the last three numbers ALOUD from the labeled specimen and matching them to the patient's ID band upon completion of a lab draw.
What is the FINAL CHECK?
A "bottle of immunity", this is the antibody portion of plasma for the prevention of infectious disease that comes from pharmacy and must be titrated per manufacturer instruction.
What is IVIG?
The starting rate of a transfusion of PRBCs for a 20 kg child.
What is 40 ml/hr for 15 minutes?
The main plasma protein of blood that transports medications, hormones, and other substances that are insoluble in water.
What is Albumin (3.4-5g/dL)?
It is the total amount of albumin and globulins in the plasma which are the major source of building material for blood, skin, hair, nails, and internal organs. They regulate osmotic pressure and are necessary for the formation of many hormones, enzymes, and antibodies.
What is Serum Protein (6-8g/dL)?
This frozen blood product is to control bleeding associated with Fibrinogen and Factor 8 deficiencies. It must be thawed and deteriorates quickly so must be given promptly.
What is Cryoprecipitate?
The standard vital sign parameters for giving blood products.
What is Baseline, every 15 minutes X2, then 30 minutes until 1 hour post transfusion?
This plasma protein comes in two concentrations for volume expansion and is obtained from pharmacy, not blood bank.
What is Albumin?
A byproduct of protein catabolism, it is metabolized in the liver and excreted via the kidneys as urea.
What is Ammonia (35-65 mcg/dL)?
The Order of Draw for labs
What is “Careful BloodWork Returns Genuine Labs”:
Cultures, Bluetop(Coags), Redtop(Bloodbank, Drug Levels), Green(Chemistries), Lavender(CBC).?
Single-Donor
What is pheresis?
The appropriate dose of PRBCs for a 8 kg child.
What is 80-120ml over 3-4 hrs?