transfusion guidelines


transfusion guidelines

Transfusion medicine Guidlelines for use of blood components, which are usually written in a hospital's policy manual. See Transfusion criteria, Transfusion medicine. Transfusion guidelines, general criteria Hemoglobin  < 8g/dL if healthy and stable  < 11g/dL if Pt is at risk of ischemia Acute blood loss ≥ 15% (est) blood volume, tachycardia, oliguria Symptomatic anemia resulting in tachycardia, change in mental status, cardiac ischemia, or SOB Transfusion 1996; 36:144. See Transfusion guidelines. Packed RBCs
• Hemorrhage • Active Physiologic instability, including tachycardia, ↓ in systolic BP > 30 mm Hg below baseline, orthostatic hypotension, angina, mental confusion, agitation • Chronic Physiologic instability–see above, refractory state. • Sickle cell anemia Refractory crisis, acute lung syndrome, CVA, priapism, hepatic infarct, acute papillary necrosis, general anesthesia, contrast studies Platelets
• Platelet count < 30,000/µL • Functional platelet deficit • Surgical prophylaxis • Massive bleeding Cryoprecipitate
• Active bleeding, fibrinogen < 100 mg/dL • Massive bleeding • DIC w/ bleeding • 10 fibrinolysis Dysfibrinogenemia Majorin fibrinogen, factor VIII, von Willebrand factor ± in reversible liver disease Queens Hospital Medical Center, 1990