When is a transfusion indicated?
Table of Contents
When is a transfusion indicated?
Transfusion should be considered for inpatients with active acute coronary syndromes with an Hb level ≤ 8 g/dL. Adult critical care medical and surgical inpatients being treated for sepsis during the first 6 hours of resuscitation may be transfused with an Hb level ≤ 10 g/dL.
Which blood product is recommended for transfusions?
In transfusion medicine, several blood products can be prepared and used as replacement therapy; however, four of these products are more commonly used in general practice: RBCs, fresh frozen plasma (FFP), platelets and cryoprecipitate.
What are the absolute indications for whole blood transfusion?
Whole blood, if available, may be indicated for large volume hemorrhaging, such as seen with major trauma, requiring massive transfusion and rapid correction of anemia, coagulopathy, acidosis, and hypothermia.
Which is better indicator of need for transfusion?
Among shock indicators, fibrinogen level was the best indicator of the need for blood transfusion following MOH.
When do you use FFP vs cryoprecipitate?
FFP contains coagulation factors at the same concentration present in plasma. Cryoprecipitate is a highly concentrated source of fibrinogen….
| FFP | Cryoprecipitate | |
|---|---|---|
| Other coagulation factors | All, including factors II, VII, VIII, IX, X, XI, and vWF | Factors VIII, XIII, and vWF |
What is the difference between cryo and FFP?
FFP is indicated when a patient has MULTIPLE factor deficiencies and is BLEEDING. Note that FFP SHOULD NEVER be used as a plasma expander. Cryoprecipitate (cryo) contains a concentrated subset of FFP components including fibrinogen, factor VIII coagulant, vonWillebrand factor, and factor XIII.
What are the 7 functions of blood?
Blood has many different functions, including:
- transporting oxygen and nutrients to the lungs and tissues.
- forming blood clots to prevent excess blood loss.
- carrying cells and antibodies that fight infection.
- bringing waste products to the kidneys and liver, which filter and clean the blood.
- regulating body temperature.
When do you give FFP with blood?
FFP is indicated for use in bleeding patients with multiple coagulation factor deficiencies secondary to liver disease, disseminated intravascular coagulation (DIC) and the dilutional coagulopathy[12] resulting from massive blood or volume replacement.
What are the types of blood products?
Blood Products
- Red blood cells.
- Platelets.
- Plasma.
- Cryoprecipitate.
- Antibodies.
- White blood cells.
- Blood substitutes.
What are the important steps in processing blood products?
Additional Information
- Stop transfusion immediately.
- Keep IV line open with 0.9% saline.
- Complete cardiovascular and vital signs assessment.
- Contact physician for medical assessment and to inform about reaction.
- Check vital signs every 15 minutes until stable.
- Obtain blood and urine samples as soon as possible.
