Blood Transfusion Chart Hemoglobin This manual offers guidelines information and understanding about blood transfusion processes and blood components and products The table below provides routine information as well as special circumstances that require specific action Following the table sections detailing transfusion processes as well as the components and products are
Blood Component Adult Pediatric Estimated Volume Duration Effect Non bleeding 70 kg adult Dose rate Max dose and or max rate All first 15 minutes 100 mL hr 2 mL kg hr Do not exceed 100 mL hr Red Blood Cells 350mL 1 4 hrs One unit will increase hematocrit by approximately 3 or hemoglobin by 1gm dL 2 5 ml kg hr When possible patient s hemoglobin should be determined within 24 hours prior to transfusion and within 24 hours after transfusion if the patient remains hospitalized Blood platelet count less than 50 x 109 L 50 000 l in an unstable premature infant
Blood Transfusion Chart Hemoglobin
Blood Transfusion Chart Hemoglobin
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The OTQIP recommends using percent of transfusions with a pre transfusion hemoglobin less than 80 g L and percent single unit RBC transfusions as these two measures are more feasible to collect over time Transfusion of RBC is indicated in the treatment of symptomatic anemia For non bleeding patients usual adult dose is 1 unit transfuse 1 unit then check Hb and patient symptoms dyspnea chest pain syncope before transfusing a second unit
General Criteria for Transfusion of Red Blood Cells 1 RBC transfusion is unnecessary in hospitalized hemodynamically stable patients unless the hemoglobin concentration is 7 g dL 2 In patients with acute MI or unstable myocardial ischemia RBC transfusion can be considered at hemoglobin concentration 8 g dL 3 RBC transfusion is Transfusion of RBC is indicated in the treatment of symptomatic anemia Depending on etiology of anemia alternative therapies e g iron may be more appropriate than transfusion For non bleeding patients usual adult dose is 1 unit transfuse 1
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Hemoglobin 10 g dL transfusion is rarely indicated Hemoglobin 6 10 g dL indications for transfusion should be based on the patient s risk of inadequate oxygenation from ongoing bleeding and or high risk factors Hemoglobin 6 g dL transfusion is almost always indicated RBC transfusions are used to replace blood lost during haemorrhage or to increase a low haemoglobin concentration occurring for other reasons for example bone marrow failure or haemolysis
Red blood cell RBC transfusion is one important aspect of blood component therapy RBC transfusion improves tissue oxygena tion and it is indicated for treatment of both For many decades the decision to transfuse red blood cells RBCs was based upon the 10 30 rule transfusion was used to maintain a blood hemoglobin concentration 10 g dL 100 g L
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This manual offers guidelines information and understanding about blood transfusion processes and blood components and products The table below provides routine information as well as special circumstances that require specific action Following the table sections detailing transfusion processes as well as the components and products are
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Blood Component Adult Pediatric Estimated Volume Duration Effect Non bleeding 70 kg adult Dose rate Max dose and or max rate All first 15 minutes 100 mL hr 2 mL kg hr Do not exceed 100 mL hr Red Blood Cells 350mL 1 4 hrs One unit will increase hematocrit by approximately 3 or hemoglobin by 1gm dL 2 5 ml kg hr
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Blood Transfusion Chart Hemoglobin - General Criteria for Transfusion of Red Blood Cells 1 RBC transfusion is unnecessary in hospitalized hemodynamically stable patients unless the hemoglobin concentration is 7 g dL 2 In patients with acute MI or unstable myocardial ischemia RBC transfusion can be considered at hemoglobin concentration 8 g dL 3 RBC transfusion is
