Jump to content
Sign in to follow this  
snilon

Exchange Transfusion Procedure

Recommended Posts

I am rewriting a very old exchange transfusion procedure and can not seem to find a reference to refer to on how to make the whole blood product. You must mix ffp and prbc's-our old procedure uses volume and uses syringes. I would like to find one that goes by weight? Anyone have any references I can turn to to find a procedure?

Thanks!:)

Share this post


Link to post
Share on other sites


Our procedure is based on replacing the same volume of FFP as we removed adsol because adsol units run a hct of about 60% which is what is often what the doc wants for the exchange. It is nice not to have to measure the unit hct. Of course no one where I work has ever done this procedure because we haven't done an exchange in the past 10 years. We came really close last night but the lights did their job.

Share this post


Link to post
Share on other sites

We use a procedure like Mabel's  and use it all the time. No complaints from the neonatologists. We use syringes to remove and replace, that way the exact amount of plasma is replaced. If you add a couple extra cc of AB plasma it brings the HCT just a bit closer to 50-55% which is what they are looking for. I have generalist on the night shift, so a procedure without weighing and calculating works well.

Liz

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Sign in to follow this  

  • Advertisement

  • Site Suggestions

    Site Feedback & Suggestions

×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.