Whole Blood

Question 1

Whole blood Trade Name?

Answer 1

Blood

Question 2

Whole Blood Classification?

Answer 2

Blood

Question 3

Whole blood Mechanism?

Answer 3

Directly replaces blood volume

Question 4

Whole blood Indications?

Answer 4

Standing Orders
-Signs of massive hemorrhage
-Traumatic injury (penetrating or blunt)
-Witnessed arrest from hemorrhage or suspected hemorrhage < 5 min prior to provider arrival and continuous CPR throughout downtime
-Postpartum and third trimester hemorrhage

With Direct Medical Orders:
-Rupturing aneurysm
-GI Bleeding
-Intra-abdominal bleeding

AND…one or more of the following:
-systolic BP <90mm Hg
-HR >120bpm
-Pediatric: obvious external blood loss and aged based considerations of hemorraghic shock
*CT Protocols

Question 5

Whole blood Contraindications?

Answer 5

-Known transfusion reaction
-Alert patient with medical decision-making capacity not willing to accept blood
-Patient age < 5 years old
-Patients who meet the CT Resuscitation Initiation and Termination guidelines
-Damage or destruction of the body incompatible with life (i.e. decapitation,
transection of torso)

Question 6

Whole blood Side Effects/Precautions?

Answer 6

Transfusion reaction

Question 7

Whole blood Adult Dose?

Answer 7

500-1000mL

Question 8

Whole blood Pediatric Dose?

Answer 8

10-20mL/kg

Question 9

Whole blood Onset of Action?

Answer 9

immediate

Question 10

Whole blood Duration of Action?

Answer 10

N/A

Question 11

Whole blood Max Dose Adult/Pediatric?

Answer 11

None/500mL

Question 12

Whole blood Routes of Administration?

Answer 12

IV/IO

Question 13

Whole blood How Supplied?

Answer 13

typically 500mL