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1. Bank blood (whole 2 packed red cells S. platelet concentrate 4 cryoprecipitat

ID: 239342 • Letter: 1

Question

1. Bank blood (whole 2 packed red cells S. platelet concentrate 4 cryoprecipitate 5. fresh frozen plasma (single donor) 6. reconstituted frozen red blood cells 7. fresh blood (whole 8. no transfusion necessary 12 year old boy with classic hemophilia and bleeding into the knee joint. (hemoglobin 12.0 gm/dl) 35 year old man with auto-inmue hemolytic anemia due to anti-e (hemoglobin 10.8 gm/dl) 4 year old girl with subacute lymphocytic leukemia and much bruising. (hemoglobin 11.0 gm/dl 68 year old woman suffering from heart failure and hypoxia secondary to iron deficiency anemia (hemoglobin 4.2 gm/dl) 25 ear-old woman bergionan articil kidy while awaiting n kidney transplant (hemoglobin 7.8 gm/dl) 45 year old man with sever IgA deficiency (hemoglobin 5.6 gm/dl) 18 year old male with acute hemorrhage due to motorcycle accident (hemoglobin 8.5 gm/dl) oy with severe burns (hemoglobin 12.5 2 day old baby with severe hemolytic diseases of the new born

Explanation / Answer

1. whole blood

whole blood transfusion is limited to acutely hemorrhaging individuals,but dosing should be based on further clinical condition.it is mainly indicated to those:

answer; 18 yr old male with acute hemorrhage due to motor cycle accident (hb.=8.5 gm/dl)

2.packed red cells

answer. 68 yr old women suffering from heart failure and hypoxia secondary to iron deficiency anemia

packed red cells are transfused to prevent tissue hypoxia. the indications for transfusion are based on some parameters like hemoglobin concentration,and clinical scenario. for patient with healthy cardiopulmonary and vascular function ,transfusion generally indicated at haemoglobin value of 6gm/dl or less.

3.platelet concentrated

answer: 4 yr old girl with sub acute lymphocytic leukemia and much bruising(hb=11.0g/dl)

platelet transfusion may be given for thrombocytopenia or to treat active platelet related bleeding or as a prophylaxis in those at serious risk of bleeding.indicated for

4.cryoprecipitate

answer . 12 yr boy with classic haemophilia and bleeding into the knee joint( hb 12 gm/dl)

cryo is used most commonly for replacement of fibrinogen in patients that are bleeding or at increased risk of bleeding.

indications : hemophelia A

uremic bleeding

5.fresh frozen plasma

answer :12 yr boy with classic haemophilia and bleeding into the knee joint( hb 12 gm/dl)

indication:

multiple coagulation factor deficiency due to liver disease

cardiac surgery or liver transplantation

6.reconstituted frozen red blood cells

answers :25 yr old women being maintained on an artificial kidney while awaiting a kidney transplant

68 yr old women suffering from heart failure and hypoxia secondary to iron deficiency anemia

2 yr old baby with severe hemolytic disease of the newborn

it is mainly indicated to those:

7.fresh blood whole

answer:25 yr old women being maintained on an artificial kidney while awaiting a kidney transplant

indications.

8. no transfusion necessary

answer: 10 yr old boy with severe burns( HB 12.5g/dl)