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Quick Reference: Blood Components - NL2015-053-TMP, Schemes and Mind Maps of Human Biology

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.

What you will learn

  • What are the recommended storage conditions and transfusion times for Platelets?
  • What are the compatible indications for the use of Red Blood Cells (RBC) in transfusions?
  • What are the clinical situations where Plasma is recommended for replacement of multiple coagulation factors?

Typology: Schemes and Mind Maps

2021/2022

Uploaded on 09/27/2022

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Quick Reference: Blood Components
NL2015-053-TMP
Effective Date: 2015-03-20
Component
ABO/Rh
Compatible
Indication
Size
Storage
Temperature
Transfusion Time
Contraindications
Red Blood Cells
(RBC)
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.
Platelets
Should be ABO
Compatible
Deficient platelet
count due to
production failure
and/or dysfunction
Prophylaxis of
bleeding for invasive
procedures in
thrombocytopenic
patients
Massive
hemorrhage
342 ± 31mLs
per pooled
platelet dose
329 ± 194mLs
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.
Plasma:
Fresh Frozen (FP)
Apheresis Fresh
Frozen (FFPA)
Cryosupernatant (CSP)
Must be ABO
Compatible
FP/ FFPA
Management of
bleeding in patients
with INR >1.7 who
require replacement
of multiple
coagulation factors
Reversal of INR
FP:
293± 32 mLs
FFPA:
495 ± 59mLs
FP: -18 ºC;
Five (5) days at 1-6 ºC
FFPA: -18ºC;
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
pf3

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NL2015-053-TMP

Component

ABO/Rh

Compatible

Indication Size

Storage

Temperature

Transfusion Time Contraindications

Red Blood Cells

(RBC)

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.

Platelets Should^ be ABO

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.

Plasma :

Fresh Frozen (FP)

Apheresis Fresh Frozen (FFPA)

Cryosupernatant (CSP)

Must be ABO Compatible

FP/ FFPA

Management of bleeding in patients with INR >1.7 who require replacement of multiple coagulation factors

Reversal of INR

FP:

293 ± 32 mLs

FFPA: 495 ± 59 mLs

FP: - 18 ºC;

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

NL2015-053-TMP

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

Cryosupernatant

Plasma

ABO compatible

required

Treatment of TTP or

HUS

Emergent warfarin reversal when time constraints preclude vitamin K therapy or when PCC is not indicated or not available.

285 ± 34 - 18 ºC;

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