Which of the following blood products should be infused rapidly?
A. Packed red blood cells (PRBC)
B. Fresh frozen plasma (FFP)
C. Platelets
D. Dextran
Correct Answer: C. Platelets
Platelets and cryoprecipitate can be infused quickly. Platelet administration sets have a smaller priming capacity than a blood administration set. A unit of platelets is usually administered over 30 minutes. 170 – 200 micron filter is required (either a blood or platelet administration set may be used). Platelet concentrates should not be transfused through administration sets which have already been used for blood PRBC and FFP should be administered over 1 ½ to 4 hours.
Option A: The transfusion must be completed no more than 4 hours after the component has been removed from temperature controlled storage. 170 – 200 micron filter is required (standard blood administration set). Either gravity or electronic infusion pumps may be used. Electronic infusion pumps should only be used if the manufacturer verifies them as safe for that purpose.
Option B: A unit of FFP is usually administered over 30 minutes. Once thawed, FFP must not be re-frozen and should be transfused as soon as possible as post-thaw storage will result in a decline in the content of labile coagulation factors.
Option D: Dextran is not a blood product. In the operating room and intensive care unit settings, dextran is used osmotically as a colloid to treat hypovolemia and/or hemorrhage from trauma, burns, surgeries, or other causes if ABO compatibility tests are not possible in time.
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