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RED BLOOD CELLS

Synonym

Leukoreduced Red Cells - Packed Red Cells - PRBC - Packed Cells - RBC

Includes

ABO and Rh type, antibody screen (antibody identification if indicated), and crossmatch.

Blood Product

Description

Anticoagulated whole blood with most of the plasma removed, for a final volume of approximately 330 mL and hematocrit of 55-65%.

Patient Preparation

Patient must be properly identified before blood product administration. See the LHS Blood Administration policy.

Storage

Stored continuously at 1-6°C

Expiration

42 days, unless irradiated or prepared in an open system; Irradiated: 28 days; Open system: 24 hours

Reported

24 hours are desirable for routine compatibility testing. In emergency situations, Group O blood can be released in 10 minutes without a crossmatch for adults; longer, if specialty blood products are requested. Type specific blood is available in 20 minutes. A routine crossmatch requires a minimum of 2 hours. Additional time should be allowed for patients known to be sensitized to red cell antigens. Time is needed when unanticipated problems, arise, e.g. positive antibody screen, which will require antibody identification.

Comment

Red Blood Cells must be ABO and Rh compatible. A crossmatch is necessary unless life-threatening urgency exists. Packed cells should be administered through a filter. Blood not checked out to a monitored refrigerator or under wet ice must be returned within 20 minutes, if not transfused.

Use

Symptomatic anemia not treatable with diet/medication. Leukoreduced red blood cells may be utilized when a CMV reduced-risk product is warranted.

Limitations

Flow rate can be improved by use of a larger infusion needle or by infusion with normal 0.9% saline. Do not use Ringers or glucose in water!

Dosage

As needed for replacement. Adults: 1 unit will increase hematocrit 3%, hemoglobin 1 g/dL. Infants: 10-20 mL/kg will increase hemoglobin 2-3 g/dL.

Administration

Must be administered with an in-line (170-260 micron) filter. Must be transfused within 4 hours. If patient requires a slower transfusion rate, request a split product so each portion may be transfused separately and within 4 hours.

Last Updated: Thursday, March 16, 2017 04:11:41 PM


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