Red Cell Components
Documentation and Monitoring
- Monitor patient during and after transfusion for signs of a reaction
- Document vital signs before, during, and after transfusion
- Record volume administered and transfusion reaction per nursing protocol
Type of Components
| |
Volume/Unit |
| Whole Blood |
450-550 mL |
| Red Blood Cells |
200-250 mL |
| Red Blood Cells in additive solution |
300-400 mL |
| Leukocyte-Reduced Red Blood Cells in additive solutions |
240-280 mL |
| Frozen Deglycerolized Red Blood Cells |
180-250 mL |
| Washed Red Blood Cells |
180-250 mL |
Compatibiltiy
WHOLE BLOOD
- ABO-Whole Blood MUST be group-specific
RED CELL COMPONENTS
- ABO - For red cell components, compatibility is as follows:
Patient Group |
Compatible Donor Groups for Plasma* |
A |
A, O |
B |
B, O |
AB |
A, B, AB, O |
O |
O |
Rh
- All transfusions should be Rh compatible
- Rh-negative red cells can be given to Rh-positive patients
- NOTE: In certain circumstances, such as bleeding emergencies, Rh-positive red cells can be given to Rh-negative patients
Compatibiltiy Testing
- Crossmatching must be performed for all whole blood and red cell components
- Type and Screen should be ordered if transfusion is possible but unlikely
- Type and Cross should be ordered if transfusion is likely
Storage Temperature
- Red cell components MUST be stored in a blood bank monitored (1-6C) refrigerator
- If the component cannot be infused immediately return it to the blood bank within 30 minutes for appropriate storage
Notes
- FILTERS
ALL red cell components must be administered through a standard (170micron) or leukocyte reduction filter
Leukocyte reduction filters designed to be used for platelets must NOT be used for red cells
- TIME OF INFUSION
Components Should be infused within 4 hours
- MEDICATION
DO NOT add medication to whole blood or red cell components
- PUMPS
Acceptable for use with platelets
- COMPATIBLE INTRAVENOUS SOLUTIONS
.09% NaCl injection, USP may be added to Red Blood Cells if indicated to reduce viscosity
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