rescyth Posted April 16, 2010 Share Posted April 16, 2010 I thawed out 3 FFPs and 1 unit was cloudy. Where I used to work before, whenever we have cloudy FFPs we throw it right away but here (US) I wasn't sure how it works, so I called up the BB supervisor early the the morning and told here about the thing just to be on the safe side(before i trash the unit). She told me to visually check for discoloration or any chunks floating. So, I did and it was negative for any floccular materials and she said it should be good because ARC checked that before they froze it. So I released the unit for transfusion... Anyone care to comment? Im so Link to comment Share on other sites More sharing options...
David Saikin Posted April 16, 2010 Share Posted April 16, 2010 Cloudiness could be due to lipids . . . this is one of those that I'd have to see to determine if it looked ok . . . how did the patient respond, which I guess is the bottom line? Link to comment Share on other sites More sharing options...
Marilyn Plett Posted April 16, 2010 Share Posted April 16, 2010 Some pictures of different examples of blood component appearance can be found at:http://www.capitalhealth.ca/nr/rdonlyres/edmsikqpvavwkxv6nm7he5lugwyphr52glwfc7vlnn3pmklyzclwqneenjsxa7etcqbm2nvwbap744ksje6mjfsibrf/visualguidemod.sept07.pdfSome of these might be helpful, especially for less experienced staff. The AABB also has a publication that I recommend: Blood Component Visual Inspection Guide. Link to comment Share on other sites More sharing options...
rescyth Posted April 17, 2010 Author Share Posted April 17, 2010 Cloudiness could be due to lipids . . . this is one of those that I'd have to see to determine if it looked ok . . . how did the patient respond, which I guess is the bottom line?From experience, I'm sure it's a lipemic unit but also from experience, I don't take risk with it either so it was kinda hard decision for me. The patient underwent surgery and after 3 hours of the transfusion of that unit, he got a cbc and everything was pretty normal. the 14 hour after cbc though, he got an increased wbc from 10 to 19k which can mean many things with that time gap. Link to comment Share on other sites More sharing options...
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