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Blood Components

Blood Components and Plasma Derivatives

Component / Product

Composition

Volume

Indications

Whole Blood

RBCs (approx. Hct 40%); plasma; WBCs; plts

500 mL

Increase both red cell mass and plasma volume (WBCs and plts not functional; plasma deficient in labile clotting Factors V and VIII)

Red Blood Cells

RBC (approx. Hct 75%); reduced plasma, WBCs, and plts

250 m L

Increase red cell mass in symptomatic anemia (WBCs and plts not functional)

Red Blood Cells, Adenine-Saline Added

RBC (approx. Hct 60%); reduced plasma, WBCs, and plts; 100 mL of additive solution

330 mL

Increase red cell mass in symptomatic anemia (WBCs and plts not functional) 

RBC’s Leukocytes Reduced (prepared by filtration

>85% original volume of RBC; <5 x 106 WBC; few plts; minimal plasma

225 mL

Increase red cell mass; <5 x 106 WBCs to decrease the likelihood of febrile reactions, immunization to leukocytes (HLA antigens) or CMV transmission 

RBCs Washed

RBCs (approx. Hct 75%); <5 x 108 WBCs; no plasma

180 mL

Increase red cell mass; reduce risk of allergic reactions to plasma proteins

RBCs Frozen; RBCs Deglycerolized

RBC (approx. Hct 75%); <5 x 108 WBCs; no plts; no plasma

180 mL

increase red cell mass; minimize febrile or allergic transfusion reactions; use for prolonged RBC blood storage

Granulocytes Pheresis

Granulocytes (>1.0 x 1010 PMN/unit); lymphocytes; plts (>2.0 x 1011/unit); some RBCs

220 m L

Provide granulocytes for selected patients with sepsis and severe neutropenia (<500 PMN/µL) 

Platelets

Plts (>5.5 x 1010/unit); RBC; WBCs; plasma

50 m L

Bleeding due to thrombocytopenia or thrombocytopathy

Platelets Pheresis

Plts (>3 x 1011/unit); RBCs, WBCs, plasma

300 mL

Same as plts; sometimes HLA matched

Platelets Leukocytes Reduced

Plts (as above); <5 x 106 WBCs per final dose of pooled plts

300 m L

Same as plts; <5 x 106 WBCs to decrease the likelihood of febrile reactions, alloimmunization to leukocytes (HLA antigens or CMV transmissio

FFP; DR‑P; SD‑P

Plasma; all coagulation factors; complement (no plts) 

220 m L

Treatment of some coagulation disorders

Cryoprecipitated AHF

Fibrinogen; Factors VIII and XIII; von Willebrand factor

15 mL

Deficiency of fibrinogen; Factor XIII; second choice in treatment of Hemophilia A, von Willebrand's disease

Factor VI I I (concentrates, recombinant human Factor VIII)

Factor VI II; trace amount of other plasma proteins (products vary in purity)

25 m L

Hemophilia A (Factor VIII deficiency); von Willebrand's disease (off‑label use for selectec products only)

Factor IX (concentrates, recombinant human Factor IX)

Factor IX; trace amount of other plasma proteins (products vary in purity)

25 m L

Hemophilia B (Factor IX deficiency)

Albumin/PPF

Albumin, some a‑, p‑globulins

(5%); (25%)

Volume expansion

Immune Globulin

IgG antibodies; preparations for IV and/or IM use

varies

Treatment of hypo‑ or agammaglobulinemia; disease prophylaxis; autoimmune thrombocytopenia (IV only)

Rh Immune Globulin

IgG anti‑D; preparations for IV and/or IM use

1 mL

Prevention of hemolytic disease of the newborn due to D antigen; treatment of autoimmune thrombocytopenia

 

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Last modified: 03/05/06