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FFP Transfusion Rate

Posted
by RN_007 RN_007 (New) New Nurse

Hi, we’re administering convalescent FFP to our COVID patients. FFP is typically infused over 30 minutes. Since it’s blood, I was thinking it should be initially transfused at a slower rate in case of a reaction (although they say a reaction to FFP is typically low). What rate should I start it at? Because if I’m running like say a 250 ml bag of FFP in 30 minutes, wouldn’t it go at a really fast rate of 500 ml/hr?

zoidberg, BSN, RN

Specializes in Critical Care. Has 6 years experience.

we run RBC and FFP at 150ml/hr, cryo and platelets run as fast as patient/access can handle. I would say treat it like you are infusing regular ffp, follow your usual policy

NurseSpeedy, ADN, LPN, RN

Has 19 years experience.

On 8/21/2020 at 7:27 PM, RN_007 said:

Hi, we’re administering convalescent FFP to our COVID patients. FFP is typically infused over 30 minutes. Since it’s blood, I was thinking it should be initially transfused at a slower rate in case of a reaction (although they say a reaction to FFP is typically low). What rate should I start it at? Because if I’m running like say a 250 ml bag of FFP in 30 minutes, wouldn’t it go at a really fast rate of 500 ml/hr?

My first thought was that 500ml/hr could potentially blow the IV access but then I have to remember those getting it are pretty sick and should have a central line anyways.
Every hospital has a policy and procedure. I would just read up on it, ask questions of supervisor if unclear, and follow appropriate protocol. FFP I remember running pretty fast after initial 15 minutes monitoring at a slower rate for potential reaction.