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When giving platelets to a patient is ABO compatibility a factor? No
Platelets must be kept at room temperature and are good to last: 1-5 days
*Bag should be agitated periodically to prevent clumping
Indications for Platelets Bleeding caused by thrombocytopenia
Platelet count <20,000 mm3 (normal 150-400,000)
Fresh Frozen Plasma FFP Rich in clotting factors but contains NO platelets
Liquid portion separated from whole blood and frozen
,Is ABO compatibility required for FFP? Yes
FFP can be stored for 1 year but must be used within: 24 hours after thawing
FFP Indications Bleeding caused by deficiency in clotting factors
Fluid volume expander (ex: liver patients due to decreased prothrombin production)
Albumin is prepared from? Plasma
Is ABO compatibility required for Albumin? No
Albumin is 5% oncotically equivalent to plasma therefore it is an: Isotonic solution
Albumin Normal Range 3.5-5.0
Blood Transfusion Reactions Protocol 1. STOP transfusion
, 2. Maintain new IV line with NS (KVO)
3. Assess patient
4. Notify blood bank and call HCP
5. Recheck ID tags and numbers
6. Monitor V/S and urine output
7. Treat symptoms per HCP
8. Save blood bag and tubing for blood bank
9. Complete transfusion reaction report
10. Collect specimens to evaluate for hemolysis
11. Document reaction
Why would you collect a urine sample after a hemolytic reaction? Hemolysis of RBCs can
cause severe kidney damage
Acute Hemolytic Reaction Incompatibility of blood product
*Human error