Clinical Use of Blood Components

4.1 Name three factors that may affect the expected haemoglobin rise (10 g/l) post-transfusion of one unit of blood to a patient who is not bleeding.

Weight of patient, volume of red cells in unit, age of the unit.

 

4.2 According to the BSH guidelines, what is the recommended dose for an adult requiring FFP?

12–15 ml per kg.

 

4.3 Suggest four local/national initiatives which help to ensure the appropriate use of blood and blood products.

HTTs, audit, guidelines, policies and procedures, communication, training, and education.

 

4.4 Name four contraindications when considering using intra-operative cell salvage.

Patient not consented, infection, contaminated surgical site with drugs, bowel contents, gastric or pancreatic contaminates, sickle cell, malignancy, amniotic fluid contamination.

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