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Transfusion Quiz

Transfusion Quiz. “Their Lives in Your Hands” Doctors. What % of blood components have to be traced according to the UK Blood Safety and Quality Regulations 2005?. 50%. 80%. 95%. 100%. What does SHOT stand for?. Some Hotels Offer Training. Serious Hazards of TRALI.

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Transfusion Quiz

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  1. Transfusion Quiz “Their Lives in Your Hands” Doctors

  2. What % of blood components have to be traced according to the UK Blood Safety and Quality Regulations 2005? 50% 80% 95% 100%

  3. What does SHOT stand for? Some Hotels Offer Training Serious Hazards of TRALI Serious Hazards of Transfusion Serious Harms of Transfusion

  4. Where do the majority of errors occur? In the ward manager’s fridge In the laboratory Removing blood from the blood fridge At the bedside

  5. What minimum identifiers are required on a transfusion sample? Date of birth and hospital number Full Name, date of birth and hospital number/NHS number Name and date of birth Hospital number, date of birth and address

  6. Transfusion samples have to be: Collected by the Doctor and labelled by the Nurse at the site of collection Collected and labelled by the same person at the Nursing station Collected and labelled by the same person at the site of collection Collected and labelled by the same person from the case notes

  7. “Labelling of sample” errors usually happen because: The patient had somebody else’s wristband on The request form was not checked correctly The patient was awkward The patient identification was not checked

  8. How long is blood allowed out of the fridge before it has to be transfused to a patient? 2 Hours 1 Hour 30 minutes 4 hours

  9. For routine transfusions, how many units can be sent from the Blood Bank fridge at one time? 1 unit 3 units As many as you want 2 units

  10. Indications codes are used in transfusion to: Collect blood Prescribe blood Request a group and save test Order blood

  11. Platelet concentrates should be ordered for bone marrow failure, in the absence of bleeding, when the platelet count falls below: >20 x 109/L <50 x 109/L <10 x 109/L <30 x 109/L

  12. In bone marrow failure, to prevent bleeding associated with invasive procedures “eg insertion of intravenous lines”, the platelet count should be raised to: >20 x 109/L > 50 x 109/L >100 x 109/L >30 x 109/L

  13. What are the minimum blood observations necessary when transfusing a patient? Start (Baseline), finish and 15 minutes into the transfusion Every 30 minutes Start (baseline), finish and 45 minutes into the transfusion Hourly

  14. In bone marrow failure to prevent bleeding associated with surgery to brain or eyes the platelet count should be raised to: >20 x 109/L > 50 x 109/L > 30 x 109/L > 100 x 109/L

  15. In massive transfusion the aim is to maintain the platelet count: > 20 x 109/L > 50 x 109/L > 30 x 109/L > 100 x 109/L

  16. In Neonatal Allo-Immune Thrombocytopenia for bleeding or as prophylaxis treatment the platelet count should be: > 20 x 109/L > 50 x 109/L > 30 x 109/L > 100 x 109/L

  17. One therapeutic dose of platelets is equivalent to: 15 ml/kg body weight 10 ml/kg body weight 5 ml/kg body weight 25 ml/kg body weight

  18. FFP should be used for the immediate reversal of the Warfarin effect: When the INR is 1.3 When the INR is slightly raised In the presence of life threatening bleeding When the INR is 6.0

  19. To determine how much FFP is required for your patient you should: Calculate the amount required using the formula 10 ml/kg body weight Calculate the amount required using the formula 15 ml/kg body weight Order 4 packs of FFP Order 2 packs of FFP

  20. Cryoprecipitate is indicated in: DIC where there is bleeding and a fibrinogen level <0.1g/L DIC where there is bleeding and a fibrinogen level >2.1g/L DIC where there is bleeding and a fibrinogen level <1g/L DIC where there is bleeding and a fibrinogen level >1g/L

  21. Cryoprecipitate is now supplied by the NBS in single units and in: Pools of 5 units Double units Pools of 15 units Pools of 10 units

  22. In adults, 2 pools of Cryoprecipitate are generally equivalent to: Half a therapeutic dose A therapeutic dose Insufficient FVIII requirement 2x a therapeutic dose

  23. 1 day post surgery, Hb of 7.5, patient not symptomatic, no significant risk factors: how many units of blood should be given? 1 unit 3 units None 2 Units

  24. In chronic anaemia the patient should be transfused to: Maintain the Hb above 9.0 Maintain the Hb above 10.0 Maintain the Hb just above the concentration which is not associated with symptoms of anaemia Maintain the Hb above 12.0

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