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Blood Bag. Coagulation & Preservers. Citrate 24 hours 1-6 ºC Heparin 48 hours 1-6 ºC ACD or CPD 21 days 1-6 ºC CPD-A1 35 days 1-6 ºC CPD-A1+ additive 42 days 1-6 ºC AS-1 Additives AS-3 AS-5. Additive Solution. Saline
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Coagulation & Preservers • Citrate 24 hours 1-6 ºC • Heparin 48 hours 1-6 ºC • ACD or CPD 21 days 1-6 ºC • CPD-A1 35 days 1-6 ºC • CPD-A1+ additive 42 days 1-6 ºC AS-1 • Additives AS-3 AS-5
Additive Solution • Saline • Adenine • Glucose • Manitol
Blood Component • Whole Blood (WB) • Packed Cell (PC) • Washed Red Cell (WRC) • Platelet Concentration • Fresh Frozen Plasma (FFP) • Cryo Precipitation • Albumin • Coagulation Factors • Immunoglobulins
Whole Blood (WB) • ACD or CPD 21 days 1-6 ºC • CPD-A1 35 days 1-6 ºC • CPD-A1+ AS 42 days 1-6 ºC • Volume 450 cc ± 10% • Usage = Sever Bleeding , Massive Transfusion , Surgery , Blood Exchange • Hct 40%
Packed Cell (PC) • ACD or CPD 21 days 1-6 ºC • CPD-A1 35 days 1-6 ºC • CPD-A1+ AS 42 days 1-6 ºC • Volume 220 - 260 cc • Usage = Sever Bleeding , Anemia, Massive Transfusion , Surgery , Hemodialyze • Hct <80%
Washed Red Cell (WRC) • Max 6 h in RT • Max 24 h in 1-6 ºC • Volume 250 cc • Usage = Reduces of fiver and allergic reactions with leukocytes and proteins. Prevention of anaphylactic shock.
Platelet Concentration • Count 5.5 × 1010 • Volume 50 - 70 cc • 3 – 5 days 20 – 24 ºC • Usage = Thrombocytopenia , Prevention of Bleeding , Cardiac-Pulmonary Bypass
Fresh Frozen Plasma (FFP) • 1 year -18 ºC • Volume 200 – 260 cc • Include = Proteins , Coagulation factors , Complement • Usage = Liver Disease , DIC , Coagulation factor deficiency , Massive Transfusion , Coagulation Disorders. • Do not use of FFP for increasing blood volume or nutrition.
Cryo Precipitation • VIII , VWF , XIII , Fibrinogen , Fibronectin • Volume 10 – 15 cc • 1 year -18 ºC • Usage = VWD , XIII and Fibrinogen Deficiency , Hemophilia A .
Albumin • 3 years < 30 ºC • 5 % 250 -500 cc • 25 % 50 – 100 cc • Usage = Hypovolumic Shock , Blood Proteins Deficiency , Cerebral Edema , Increasing Ancotic Pressure , Blood Pressure Control.
Storage Lesion • Temperature • Circulation • Recycle Bin
Bacterial Infections • Whole Blood Infection • Platelet Infection
Signs of Infections • Gas • Hemolysis • Hazy • Brownish