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A quick reference for various blood components, including red blood cells (rbc), platelets, plasma, and cryoprecipitate. It outlines their compatibility, storage conditions, transfusion times, and contraindications. The document also specifies the size, temperature, and transfusion time for each component, as well as clinical situations where they may be used.
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Must be ABO/Rh Compatible
Rh negative recipients should receive Rh negative red cells
Transfusion of Rh positive RBC should be avoided for Rh-negative women of child-bearing age
Supplement oxygen- carrying capacity (e.g. acute blood loss, chronic anemia)
Red blood cell replacement in exchange transfusion
304 ± 61 mLs per unit
1 to 6 ºC (for 42 days from collection date)
If greater than 6ºC, must be transfused within four (4) hours
One to two ( 1 - 2) hours (unless otherwise ordered by prescriber) to a maximum of four (4) hours from time of removal from temperature controlled storage
Clinical situations where limited oxygen- carrying capacity is not due to red cell deficiency or dysfunction.
Compatible
Deficient platelet count due to production failure and/or dysfunction
Prophylaxis of bleeding for invasive procedures in thrombocytopenic patients
Massive hemorrhage
342 ± 31 mLs per pooled platelet dose
329 ± 194 mLs per apheresis bag
20 - 24 ºC under continuous agitation (for five [5] days)
Infuse as rapidly as possible after initial 15 minutes, up to one hour (1), if tolerated
Recipients with rapid platelet destruction associated with ITP (unless life-threatening bleeding)
Not recommended for HIT or TTP.
Fresh Frozen (FP)
Apheresis Fresh Frozen (FFPA)
Cryosupernatant (CSP)
Must be ABO Compatible
Management of bleeding in patients with INR >1.7 who require replacement of multiple coagulation factors
Reversal of INR
293 ± 32 mLs
FFPA: 495 ± 59 mLs
Five (5) days at 1-6 ºC
FFPA: - 18 ºC; 24 hours at 1-6ºC
Infuse as rapidly as possible after initial 15 minutes, up to one hour (1), if tolerated
Single factor deficiency treatment if deficiency- specific recombinant or plasma-derived products available
If coagulopathy can be more appropriately
1.7pre-op or pre-invasive procedure patients when replacement of multiple coagulation factors is required or when PCC is not indicated or not available to reverse warfarin
Massive transfusion
Plasma exchange for TTP or adult HUS
Management of selected coagulation deficiencies (congenital or acquired) for which no specific coagulation concentrates are available
corrected with specific therapy (vitamin K, PCC, etc.)
Hypovolemia without coagulation deficiencies
To correct mildly elevated INR (≤ 1.7) or aPTT prior to an invasive procedure.
Patients with known anti-IgA should receive IgA deficient plasma
Treatment of TTP or
HUS
Emergent warfarin reversal when time constraints preclude vitamin K therapy or when PCC is not indicated or not available.
24 hours at 1-6ºC
Infuse as rapidly as possible after initial 15 minutes, up to one hour (1), if tolerated by recipient
Not indicated for conditions that require fibrinogen, FVIII or vWF