Our policy states that albumin may be given concurrently with red blood cells. My old Tech Manual from 2011 specifically says 5% albumin may be used. However, pharmacy is telling us that usually the 25% albumin is given. Any references available about what concentration albumin may transfused concurrently with red cells?

This is an older post, but in case anyone else happens to need the information: I couldn't find any data supporting 25% albumin administration concurrent with PRBC transfusion.  However, the clinical staff may be diluting this product down to 4-5% at the bedside for transfusion - definitely something to check (or to pass along to the medical director/administration to investigate so you don't have to be in the middle).

 

https://www.researchgate.net/publication/339182642_Blood_Transfusion_Intravenous_Medication