Therapies for Blood Disorders

What are common therapies done for blood disorders?

- Splenectomy

- Apheresis (separation of blood)

- Blood Component Therapy (Transfusion of what patient needs)

Where do we get blood for transfusions?

donation

What is Directed Donation?

specific donation

-

best done for a match (e.g. sibling donation)

What is Autologous Donation?

self given

-

all stored before surgery

What is Intra-operative Blood Salvage?

collected, washed, filtered, and immediately used

-

cannot store

What is Hemodilution

plasma and pack RBCs

What are the different types of transfusion reactions?

- Fever (febrile)

- Allergic

- Hemolytic

(Incompatible, Fluid overload, chest feels tight/heavy)

What are transfusion reactions symptoms?

- VS Changes

- Fever

- Rash

- Itching

- Low back pain

- Anxiety

What interventions need to be done for a patient having a transfusion reaction?

- STOP the transfusion (change to NS)

- Assess

- Notify MD

- Notify blood bank (don't throw blood away)