Which of the following is not a Patient Blood Management (PBM)
multidisciplinary approach to transfusions? - ANSWER-Use of
fibrolytics
What is not considered an obstacle across the surgical specialties
when it comes to using a cell saver? - ANSWER-Patients
How is blood collected with the cell saver and readied for reinfusion
into the patient? - ANSWER-Low pressure suction into reservoir,
blood mixed with anticoagulant, passes through filter, separated via
centrifugation, washed with 0.9% saline and pumped back into bag
Which of the following is not considered a potential contamination for
using the cell saver? - ANSWER-Blood with saline irrigation
What is the recommended time frame for postoperative salvaged
blood to be re-infused? - ANSWER-6 hours
What is administered if the patient's activated partial thromboplastin
time (APTT) is elevated? - ANSWER-Protamine
What is a disadvantage of using a leukocyte depletion filter (LDF) with
the cell saver? - ANSWER-Slow infusion rate
,What is the vacuum pressure setting to prevent hemolysis? -
ANSWER-100-150 mmHg
Which of the following must be listed on the re-infusion bag label? -
ANSWER-Time of salvage
Which procedure is a cell saver not necessary? – ANSWER-
cholecystectomy
Why should the primary infusion bag be disconnected from the cell
saver circuit prior to reinfusion? - ANSWER-Prevent air embolism
What should the CST have available for the surgeon if there is the
chance that pleural effusions could be aspirated? - ANSWER-
Separate suction setup
Which of the following is not an absolute contraindication for using
ICS? - ANSWER-Systemic sepsis
What should be done by the circulator regarding the flow rate of
heparin if a clot has formed in the reservoir when collecting blood? -
ANSWER-Increase
Which term refers to red blood cell lysis because of an excessive
vacuum level of suctioning? - ANSWER-Skimming
, How many milliliters (mL) of blood must be collected to that it may be
processed? - ANSWER-500 mL
What is the rate per seconds that heparin that has been added to
saline should be delivered to the tip of the smaller bore lumen of the
suction assembly? - ANSWER-1-2 drops per second
Which of the following blood tests should be performed on a blood
specimen after the autologous blood has been re-infused? -
ANSWER-Full blood count
Which surgical procedures is there an insufficient amount of blood
loss to justify the use of ICS according to research? - ANSWER-Pelvic
trauma
Which of the following may cause a fluid embolus if aspirated and
reinfused? - ANSWER-amniotic fluid
Which of the following is the lethal triad? - ANSWER-acidosis,
coagulopathy and hypothermia
Which of the following is a pediatric patient massive transfusion
definition? - ANSWER-transfusion of >100% TBV within 24 hours
Which percentage of blood loss produces mild shock in the patient? -
ANSWER-20%
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