Blood Products Flashcards
What are PRBC’s? When is it given? Why?
packed Red Blood Cells
In Adults < 7, in Neonates < 10
To increase O2 carrying capacity.
What is Cryoprecipitate? When is it given? Why is it used?
Small volume that is rich in fibrinogen (concentrated amount).
Good to give to peds b/c it is low volume dosage with high yield.
Fibrinogen helps to stabilize bleeding, is ideal use in neonates who
commonly bleed from cannulation sites.
What is FFP? When is it given? Why is it used?
Fresh Frozen Plasma
Given when the INR > 1.5
To give clotting factors to a pt who is bleeding
What are platelets? When is it given? Why is it used
Manufactured by whole blood and binds to fibrinogen.
Adults do not get platelets transfused unless they are actively bleeding
(platelet counts as low as 15,000).
When platelet values are < 80,000 for peds/neonates (patient dependent
on bleeding amounts)
How are the above products given to adult ECMO patients?
Peripherally to the patient by the nurse.
Where are the blood components given into the neonatal circuit? Describe all
ports that might be used.
pRBCs = one of the venous pigtails, manifold (venous side).
Ran on a syringe pump.
FFP = one of the venous pigtails, manifold (venous side).
Ran on a syringe pump.
Platelets = On the arterial side of the bridge.
Pushed manually, 5 cc every 5 minutes. After giving the full
amount,
flush with saline enough to clear the line.
What is the usual dose or volume of the above components given to a 4 kg
child?
10-15 cc/kg (if the patient is exsanguinating then 20 cc/kg).
What does it mean to use emergency release blood?
Not cross-matched, 0 negative blood.
What does blood type mean?
Blood types are determined by the presence or absence of certain
antigens.
What blood type is the universal donor? What blood type is the universal
recipient?
O Negative = Universal Donor
AB Positive = Universal Recipient
.What are the special requirements for infants < 4 months with respect to
blood? Is this true for the other elements of the blood?
Initial sample at birth (good for 4 months due to immature liver not making
antigens).
What part of blood carries the antibodies?
Plasma
Define thrombocytopenia? What factor is given when this condition occurs?
Low Platelet Levels = Give Platelets
When does RH matter?
Women of pregnancy age as well as pregnant women.
How long may blood stay in the unit refrigerator?
There is no unit refrigerator - can stay in the coolers for 12 hours.
