Reference no: EM133619070
Assignment: Advanced Immunohematology
A. How quickly will symptoms occur if a patient has an acute hemolytic transfusion reaction? List the symptoms the nurse will look for.
B. What is the rationale for 2 nurses to be present when starting a transfusion on a patient? What are their respective responsibilities?
C. What does TRALI stand for? What are the symptoms a patient will exhibit and how quickly or slowly will the symptoms appear? Be specific.
D. Even with using plastic collection bags and closed systems, blood products can still become contaminated. Discuss reasons why bacterial contamination still occurs; List the clinical symptoms if a unit of blood is contaminated; how can the technologist and/or nurse evaluate the blood for contamination; what bacteria are more commonly identified as contaminates and why?
E. If a patient has a suspected transfusion reaction, list the steps that should be followed and who (professional) is responsible for each step.
F. Discuss allergic transfusion reactions and what protocols are in place in your laboratories.
G. What are the 3 protocols the lab is responsible for performing in any suspected transfusion reaction? Generally discuss each.
H. If you have been on an investigative team for a transfusion reaction, please share your experience.
I. Define:
I. Fetomaternal hemorrhage:
II. Hemolytic disease of the fetus and newborn
III. Phototherapy
IV. Amniocentesis
V. Liley graph
J. Generally discuss the principle of the Rosette test for detecting a fetomaternal hemorrhage and include the formula for quantifying how much RhIG is needed to prevent a patient from making antibodies due to either ABO or Rh incompatibility.
At what bilirubin level will a doctor make a decision to perform an exchange transfusion? If not treated, but potential damage may occur in the infant.