HOLY ANGEL UNIVERSITY

School of Nursing and Allied Medical Sciences

Department of Medical Technology

IMMUNOHEMATOLOGY & BLOOD BANKING LABORATORY WORKSHEET

Read and analyze the given cases. Answer the questions accurately &
comprehensively.

1. An individual is planning to donate blood in a regional hospital today however

received his hepatitis B vaccine last week.  Can he qualify as blood donor? Support
answers.

Yes. According to Harmening (2012), there is no deferral for toxoids or

killed or synthetic bacterial vaccines such as Hepatitis B vaccine, as long as the
donor is symptom free and afebrile.

2. A 54-year-old woman joined the blood donation program in her place of

employment. She proceeds with the donor screening. Results of her screening
revealed that her weight is 150 lbs., hemoglobin-13 g/dL and currently on warfarin
and vitamin B12. Is she acceptable as donor? Support answers.

Her age, weight and hemoglobin levels meet the criteria of being a donor.
However, only red cells can be taken from her donation because she is currently
on warfarin because she is currently on warfarin, only red cells can be prepared
from her donation. In some cases, people who are currently taking warfarin are
not allowed to donate because warfarin are blood-thinners, hence, the donor’s
blood may not clot normally. Discontinuation of the medication for at least 7 days
is done before donating is possible (American Red Cross, n.d).

3. How much anticoagulant would have to be removed from the collection bag from
donor weighing 90 lbs? Show solutions.

Volume to collect= (41 kg/50) x 450 mL= 369 mL

369 mL/ 450 x 63 mL= 51.66 (reduced volume of anticoagulant)
63 mL - 51.66 mL= 11.34/ 11 mL

11.34/ 11 mL of anticoagulant would be removed.

4. Could the donor be accepted if his diastolic pressure is 110 mmHg? Support
answers.

No. This is because the diastolic blood is high; the FDA guidelines stated
that the systolic and diastolic blood should be within the normal limits—which is
180/100 mm Hg or less. Since the donor has a diastolic pressure of 110 mmHg
he/she is not qualified (it should be equal or less than 100 (Blaney, 2013).

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5. What should be the best course of action when blood flow during donor's
bleeding stopped and the blood bag is already half filled? Support answers.

Checking the position of the needle is done if the blood flow has stopped
because if the bevel of the needle is positioned against the lower or upper wall of
the vein, the blood flow may be affected. It is also probable that the vein has
collapsed. If the blood flow is still stopped after adjusting the needle, the
discontinuation of the donation must be done because again, the probability that
the vein has collapsed is high and this might result to hematomas (Arizona
College of Nursing, 2013).

References:

American Red Cross. Eligibility criteria: alphabetical. Retrieved on March 16, 2021 from
https://www.redcrossblood.org/donate-blood/how-to-donate/eligibility-
requirements/eligibility-criteria-alphabetical.html

Arizona College of Nursing. (2013). Needle position: the key to a successful blood draw.
Retrieved on March 16, 2021 from
https://www.arizonacollege.edu/blog/needle-positioning-the-key-to-a-
successful-blood-draw

Blaney, K. (2013). Basic and applied concepts of blood bank and transfusion practices.
St. Louis, Missouri: Elsevier

Harmening, D. (2012). Modern blood banking and transfusion medicine, (6thed.). 

Philadelphia:  F.A. Davis

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