[WINDYCITYRN]

Hi everybody, I've been a dialysis nurse for a while, mostly acute. Just wondering what your hospitals policy is on fresh frozen plasma administration with dialysis. We have a lot of coagulapathic patients in ICU and we are asked sometimes to give plasma with dialysis which we normally dont. PRBCs we give all the time. Ive asked around if any policy or studies regarding plasma and effect on dialyzer or pts but have had no clear cut answer. any advice will help.

[jnette]

Don't have an answer for you, either. We used to give PRBCs a lot, too, but can't remember ever giving plasma. Perhaps someone else will come along with the info you need.. hang in there.

[diabo]

I've given FFP many times during dialysis in ICU. Gave four unites during a three hour treatment once as ordered by the nephrologist. We used heparin a 1500/1500 and added the volume to the target. Had no coag. problems.

[jnette]

Yeh.. I'd say in acutes or ICU it would be hung, but not so in chronics.