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Blood Management in the Perioperative Setting

Horizontales
Agglutinogen; surface of RBC, A and B
Anti-A antibodies
Aggluttins; Produced by immune system in response to foreign body,
55%; protein rich fluid, transport for hormones
Process of separating molecules in a solution by densities
Liquid portion of blood; contains clotting factors except for platelets
Exposure of Rh negative fetus to anti-Rh antibodies in maternal circulation as they cross the placenta to the fetus resulting in hemolysis
No circulating agglutinins, A and B agglutinogens present, universal recipient
Massive blood loss; trauma
Use of blood components: RBC concentrates, plasma concentrates, Plasma
Pulmonary edema due to volume excess; respiratory distress
Administered to prevent sensitization the firs time; given as single dose of anti-Rh antibodies during postpartum period
Verticales
Affects mainly males, deficient in Factors 8 and 9
Anti-B antibodies
Imminent need for transfusion; cross-match
Top test tube for T&S and T&C; must sign the label!
Diffuse bleeding; activation of coagulation and fibrinolysis
Component of FFP; concentrated form of Fibrinogen (Factor I); setting of trauma
Identification of blood type, screen for antibodies; no imminent need or anticipated blood loss
Anti-A and Anti-B antibodies present; no circulating agglutinogens, universal donor
Clumping of RBCs in incompatible plasma
ABO incompatible reaction; potential Renal Failure
Position head of bed raised 30-90 degrees with knees elevated
Test top tube for Coagulation Studies (PT/PTT/INR)
STOP transfusion; notify blood bank; Normal Saline keep IV open, Vitals, UOP
Clinically relevant; studied in the rhesus monkey; typing with anti-D serum