blood products Flashcards
List 4 reasons that a blood transfusion might be given
Restore O2 carrying capacity
Restore blood volume
Provide blood components
Treat sepsis
Blood products
Whole blood
Fresh whole blood
Stored whole blood
Plasma
Fresh plasma
Frozen plasma
Platelet concentrate
not available in UK
Packed red blood cells - action
restore oxygen carrying capacity
Non-Labile clotting factors
(non fragile)
Non-Labile clotting factors
(non fragile)
Fresh whole blood - function
++ restores oxygen carrying capacity and blood volume ++
Fresh whole blood - constituents
RBCs, WBCs, platelets, plasma proteins, Calcium, fibrogen
Fresh whole blood -indications for use
haemorrhage, haemolysis, aplastic anaemia, thrombocytopaenia, coagulation disease, DIC. hypovolaemia
Fresh whole blood - shelf life
4 - 8 hours
Fresh whole blood - constituents
RBCs, WBCs, platelets, plasma proteins, Calcium, fibrogen
Fresh whole blood -indications for use
haemorrhage, haemolysis, aplastic anaemia, thrombocytopaenia, coagulation disease, DIC. hypovolaemia
Fresh whole blood - shelf life
4 - 8 hours
Fresh whole blood - storage
FRESH WHOLE BLOOD SHOULD NOT BE REFRIGERATED
Stored whole blood - function
restores oxygen carrying capacity and blood volume
stored whole blood - constituents
RBCs, WBCs, plasma proteins,
stored whole blood - indications for use
plasma replacement, haemolysis, anaemia, hypovolaemia, coagulopathy, DIC, bone marrow disease
stored whole blood - shelf life
coagulant - citrate phosphate dextorse - 21 days
coagulant - citrate phosphate dextrose adenine - 35 days
Stored whole blood - storage
1 - 6 C for 8 hours.
store upright
bags should be gently mixed by inversion several times a week
Packed red blood cells - constituents
PRBCs suspended in small volume of plasma and 100ml SAG-M
Packed red blood cells - indications for use
Regenerative anaemia, non-regenerative anaemia, Acute blood loss, IMHA, Chronic blood loss- parasitism, bone marrow disorders
Packed red blood cells - Shelf life
PRBC’s stored in SAG-M have a shelf life of 42 days
Packed red blood cells - storage
1-6C
Store upright
space for air to circulate
bags mixed gently
Fresh frozen Plasma (FFP) - product
plasma that has been seperated within 8 hours of collection
Fresh frozen Plasma (FFP) - action
volume expansion, replace plasma factors, replace liable clotting factors
Fresh frozen Plasma (FFP) - constituents
all plasma proteins (including labile CF)
Fresh frozen Plasma (FFP) - indications for use
Coagulopathies, von Willebrands, loss of protiens, burns, GIT disorders, haemophillia A. DIC, pancreatitis, hypovolaemia.
Fresh frozen Plasma (FFP) - shelf life
12 months
Fresh frozen Plasma (FFP) - storage
-18C
Frozen Plasma (FP) - product
plasma that has been separated from whole blood, >12 hours after collection but within the expiry date of the whole blood.
Frozen Plasma (FP) - action
provides plasma factors and non liable clotting factors. Volume expansion
Frozen Plasma (FP) - constituents
albuminm - non liable clotting factors
Frozen Plasma (FP) - indications for use
deficiencies of non liable clotting factors.
Frozen Plasma (FP) - shelf life
FP in CPD has a shelf life of 5 years
Frozen Plasma (FP) - storage
-18C
Platelet concentrate - Product
concentration of platelets
Platelet concentrate - action
provides platelets
Platelet concentrate - indications for use
thrombocytopaenia
Platelet concentrate - shelf life
5 days
Platelet concentrate - storage
22C
Cryo - supernatant - constituents
non labile clotting factorsd, albumin and other plasma proteins
Cryo - supernatant - indications of use
plasma protein deficients, hypovolaemia, coagulopathies
Cryo - supernatant - shelf life
12 months
Cryo - supernatant - storage
-18C
Cryo - supernatant - storage
-18C
Cryo - precipitate - action
restores labile clotting factors and plasma proteins
Cryo - precipitate - constituents
20% fibrogren , 50% clotting factor VII
30% comprised of clotting factors
Cryo - precipitate - indications for use
Inherited clotting factor deficiencies such as haemophillia A and VWD. Topical haemostatic in surgery.
Cryo - precipitate - shelf life
12 months
Cryo - precipitate - storage
-18C