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UF Health University of Florida
Department of Anesthesiology College of Medicine
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Clinical Overview

Blood Products

Blood Transfusion
Coagulopathy in Trauma
Blood Components Therapy
Transfusion Reactions
MTP/Belmont

Blood Product Transfusion

*Please take the quiz below the video to receive credit.

Objectives

  1. Understand the financial costs associated with blood product transfusions
  2. Describe the morbidity and mortality associated with blood product transfusion
  3. Describe the indications for transfusing blood products along with the appropriate laboratory measurements and ranges targeted

Articles

Lecture

Quiz

Name(Required)
1. Transfusion of a single unit of PRBC is associate with a _______ increase in hospitalization costs.(Required)
2. Which is not a possible sequelae of blood transfusion(Required)
3. In patients identifying as Jehovah’s Witnesses, a dramatic increase in morbidity and mortality rates has been noted to occur when the hemoglobin concentration becomes less than:(Required)
4. According to the TRICC trial, what transfusion trigger constituted a restrictive transfusion strategy?(Required)
5. True or False: A decreased short term mortality has been noted in patients who were transfused to a hematocrit of 30% if they were admitted with STEMI myocardial infarction and were greater than 65 years old(Required)
6. When transfusing Fresh Frozen Plasma (FFP), how much is needed to effectively improve the patient’s coagulation profile?(Required)
7. Appropriate indications for FFP transfusion include all of the following except(Required)
8. True or False: Blood transfusion is an independent risk factor for mortality and morbidity
9. After only 2 weeks of storage, all the following are true concerning RBCs except:(Required)
10. All of the following are true of FFP except:(Required)

Coagulopathy in Trauma: Emergency Uses vs. MTP

*Please take the quiz below the video to receive credit.

Objectives

  1. Understand the physiology of hemostasis, coagulation, and fibrinolysis
  2. Understand the correct laboratory tests utilized to diagnose coagulopathies in the ICU
  3. Describe the management and treatment of HIT, DIC, and the reversal of direct oral anticoagulants (DOACs)

Articles

Lecture

Quiz

Name(Required)
1. Pro-thrombin Time (PT), Partial Thromboplastin Time (PTT), Thrombin Time (TT ) are tests used in the evaluation of which of the following(Required)
2. Primary hemostasis is characterized by all o the following except:(Required)
3. Pseudothrombocytopenia is identified using which of the following tests(Required)
4. If a patient is diagnosed with HIT, Heparin should be discontinued and no other anticoagulation started if the platelet count is less than 50,000.(Required)
5. All of the following are true of HIT except(Required)
6. PF4 antibody ELISA carries a more specificity for HIT than the Serotonin Release Assay(Required)
7. All of the following are Factor Xa inhibitors except which of the following?(Required)
8. All of the following are true of Prothrombin Complex Concentrate (Kcentra) except:(Required)
9. DIC is characterized by all of the following except:(Required)
10. All of the following are true regarding the treatment of DIC except:(Required)

Blood Components for Physicians

*Please take the quiz below the video to receive credit.

Objectives

  1. Introduction to safety- Testing of Blood Donors
  2. Overview of Blood Component Therapy
  3. Introduction to Blood Product Modifications
  4. Recognizing Transfusion Reactions
  5. Documentation of Transfusions and Reactions

Articles

Lecture

Quiz

Name
1. What volume typically comes in a bag of packed red blood cells?(Required)
2. How many grams/dL will 1 unit of PRBC increase the patient’s hemoglobin and hematocrit?(Required)
3. For what SvO2 would you consider administering a unit of packed red blood cells?(Required)
4. Which is not an indication for platelet transfusion?(Required)
5. Which of the following is a contraindication for administration of platelets unless the patient is suffering life-threatening bleeding?(Required)
6. When administering fresh frozen plasma, what dose should be administered?(Required)
7. How many mL’s are in one bag of fresh frozen plasma?(Required)
8. Which of the following are not found in cryoprecipitate?(Required)
9. Which of the following is an indication for ordering irradiated blood products?(Required)
10. When ordering blood products at Shands, do you ever have to specify leukocyte reduced?(Required)

Transfusion Reactions

*Please take the quiz below the video to receive credit.

Objectives

  1. List how to identify transfusion reactions.
  2. Describe the management of transfusion reactions.
  3. List how to prevent future transfusion reactions.

Articles

Lecture

Quiz

Name(Required)
1. Which of the following is the most common transfusion reaction?(Required)
2. What is the first step when there is a suspected transfusion reaction?(Required)
3. True or False: If you suspect a transfusion reaction, you take down the blood and discard it in an appropriate waste bin.(Required)
4. Which of the following is a symptom of a blood transfusion reaction?(Required)
5. What medication should you administer to treat a mild allergic reaction (urticaria)?(Required)
6. True or False: If a patient has a known history of severe allergic reaction to blood transfusions, you may administer Benadryl, steroids, H2 Blockers, and/or ephedrine prior to administering another transfusion.(Required)
7. Which of the following is a sign of a delayed hemolytic reaction?(Required)
8. True or False: Aspirin based products can be utilized to treat the fever in a febrile nonhemolytic reaction.(Required)
9. How soon after a blood transfusion does graft versus host disease present?(Required)
10. True or False: Diuretics and steroids are contra-indicated in the treatment of TRALI.(Required)

MTP/Belmont/Level 1 Rapid Transfuser

*Please take the quiz below the video to receive credit.

Lecture

Reference Video

Belmont Rapid Transfuser Guide

Quiz

Name(Required)
1. At UF Health, an Adult Massive Transfusion is defined as the need to rapidly transfuse how many products within a 2 hour time?(Required)
2. MTP may be initiated in all of the following areas except:(Required)
3. Which of the following is not a goal of MTP?(Required)
4. Which rapid transfuser used at UF Health Shands will automatically purge air and prime the tubing without stopping the infusion pump?(Required)
5. True or False: An APP may initiate MTP.(Required)
6. How much will 1 pool of platelets increase your platelet count?(Required)
7. True or False: It is acceptable to infuse platelets through a rapid transfuser.(Required)
8. How much will 1 pack pool of cryo increase the fibrinogen?(Required)
9. True or False: TXA comes from the blood bank in the second cooler of blood.(Required)
10. How much PRBC and FFP comes in each cooler AND which coolers come with platelets?(Required)