Whole Blood Flashcards
called as such because components can be prepared from the whole blood. Unmodified component
Mother/Primary component
Indications of Whole Blood: (4)
- Active bleeding
- Hemorrhagic shock
- Exchange Transfusion
- Indicated when both oxygen-carrying capacity and volume expansion are required
Components that can be prepared from Whole Blood: (4)
o RBC components
o WBC components
o Plasma Protein
o Platelet components
Anticoagulants used to have 21 days of shelf life (3)
- Acid Citrate Dextrose (ACD)
- Citrate Phosphate Dextrose (CPD)
- Citrate Phosphate Double dose of Dextrose (CP2D)
Anticoagulants used to have 35 days of shelf life
CPD-A1
Anticoagulants used to have 42 days of shelf life
- Adsol (AS1)
- Nutricel (AS3)
- Optisol (AS5)
Considerations for whole blood:
Temperature, transport requirement and characteristics of the other components (especially if the storage of whole blood already lapsed after 24 hours)
WBC and platelets are no longer viable after?
24 hours of storage in refrigerator
Labile factors significance decrease after?
2 days of storage in refrigerator
Storage temp of whole blood
1-6°C
Requirement in transporting whole blood
Wet Ice
DO NOT EXPOSE directly to the ice. Cloth or paper must be placed in between the blood bag and the ice
This is done 6 hours after the transfusion
Post Transfusion Complete Blood Count
This is done to monitor if there’s an increase in RBC indices after a transfusion of units if blood
Post Transfusion Complete Blood Count
How much hematocrit is increased per unit of whole blood?
3% Hct
Challenges Encountered After Whole Blood Transfusion: (2)
- Circulatory overload in patient requiring only O2-carrying capacity components
- Not indicated to correct anemia for normal
volemic patients
