Leukoreduced Red Cells - Packed Red Cells - PRBC - Packed Cells - RBC
ABO and Rh type, antibody screen (and antibody identification if indicated), and crossmatch.
Specimen Collection Requirements
Patient must be properly identified before blood product administration. See LHS Blood Administration policy.
Testing Information
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.
Samaritan Health Services Laboratories
Blood Product
Anticoagulated whole blood with most of the plasma removed, for a final volume of approximately 330 mL and hematocrit of 55-65%.
Patient must be properly identified before blood product administration. See LHS Blood Administration policy.
Stored continuously at 1-6°C
42 days, unless irradiated or prepared in an open system. Irradiated: 28 days. Open system: 24 hours.
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.
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.
Symptomatic anemia not treatable with diet/medication. Leukoreduced red blood cells may be utilized when a CMV reduced-risk product is warranted.
Flow rate can be improved by use of a larger infusion needle or by infusion with normal 9% saline. Do not use Ringers or glucose in water!
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.
Infuse within 4 hours or as patient tolerates.
Last Updated:
Thursday, January 5, 2017 03:42:27 AM