Blood and Blood Products Flashcards
Blood product; component; plasma derivative
Blood product: Any product derived from human blood
Blood component: a blood product manufactured from a single donation or small pool, such as red cells, platelets or fresh frozen plasma
Plasma derivative: blood product made from large pools of plasma
HIV, Hepatitis C and B window periods
HIV: 11 days (more like 3/4 weeks?)
Hep B: 7 days
Hep C: 34days
Red cells, Platelets and fresh frozen plasma
Shell life; Main clinical indication
Red cells: 35 days; Improve oxygen delivery in cases of anaemia or blood loss
Platelets: 7 days; management and prevention of bleeding of patients
FFP: 2 years; correct abnormal coagulation
Hb levels and transfusion
__g/L: May be appropriate to maintain anaemic patients on chronic transfusion regime
>___g/L: Typically not appropriate
<70g/L: Probably transfuse unless no symptoms
70-100g/L: do if having surgery with large blood loss probable, or signs/symptoms of impaired O2 transport
>80g/L: May be appropriate to maintain anaemic patients on chronic transfusion regime
>100g/L: Typically not appropriate
Indications for platelet trasfusion
Bone marrow failure, invasive procedure/surgery (ocular, neuro) and platelet function disorder; bleeding; massive haemorrhage
If levels are low
FFP use
Replacement of single factors deficiencies
Acute DIC
etc