I know there are many awesome nurses that read these boards, and I was hoping for some input on blood component transfusions @ your facility.
1. How long should it take to infuse platelets? FF Plasma?
2. Should you piggyback either one of these with NS?
3. Do you use a filter with either of these? Special tubing sets?
4. Do you need to have @ least a 20g. IV catheter for these?
We transfuse alot of packed RBC,s but seldom platelets or FFP.
(I plan to get with our lab director for more in depth guidelines. The ones we have are vague and seem incomplete.)
Thanks for your help!
Feb 15, '02
FFP, fresh frozen plasma is a 200-300 cc bag and due to its volume needs to be infused according to your patients condition. Someone who has a history of CHF, you would go slower. Your hospital will have guidelines, FFP is usually infused with blood tubing which has a filter. Platletts often come in a six-pack, still a small bag and can infuse quickly due to the small volume. Again your facility will have their own rules about tubing and filters. You should try for a #18 or#20 gauge angio, but I have seen it done through smaller ones when no veins can be found.
Last edit by lever5 on Feb 15, '02
Feb 16, '02
All blood products needs filters, special one for platelets. Agree with most of above info.
Patients in ER/ICU type units generally will have FFP and platlets run wide open. Run little slower and with caution in CHF/transplant/Chemo and Peds patients.
Many Patients getting Chemo/bone marrow transplant/Pediatrics will receive irradiated products. If platelet reaction, will use special Leucocyte reducing filter.
Often Premedicate patients with PO/IV Benadryl with standing order if HX of reactions.
Given LOTS Blood Products in ICU and in the home but last was 4 years ago when left IV agency.
No longer standard to run NSS while giving blood but keep bag and tubing in patients room in case of Transfusion reaction.
Here are some good sites with protocals:
University of Iowa Blood transfusion protocols
NIHProcedure: Blood Products: Administration
Blood Transfusion: Keeping Your Patient Safe
Blood Transfusions In The Home Sweet Home:
How To Avoid A Sour Outcome
Last edit by NRSKarenRN on Feb 16, '02