| Special Instructions: |
Description: hemapheresis is an effective way to harvest a
therapeutic adult dose of platelets from one individual donor. Platelets,
pheresis should contain = or >3 x 10 to the 11th platelets. Transfused platelets
have a short life-span, 3-4 days. The volume of plasma used for platelet
suspension varies between 100 and 500 mL. The number of leukocytes contained in
this component varies depending upon the blood cell separator and protocol used
for collection. Platelets, pheresis is supplied in a large plastic pack or in
two connected packs to improve platelet viability during storage by providing
more surface area for gas exchange. Platelets, pheresis should be stored under
conditions of continuous, gentle agitation at 20-24 °C for 1-5 days. Actions:
same as for platelets. Indications: platelets, pheresis is indicated for
patients requiring platelet transfusion. For adult platelet count ≤ 15K, no
bleeding. ≤ 20K, no bleeding, febrile. ≤50K, bleeding procedure, BUN
> 40, Cr>1.9. In patients refractory to platelets from unmatched donors,
this component may be especially useful, if HLA-matched. Other causes of
refractoriness to platelets include disseminated intravascular coagulation
(dic), itp, hypersplenism, fever, and sepsis; for these latter conditions,
platelets, pheresis is no more effective than platelets. Contraindications: same
as for platelets. Side effects and hazards: same as for platelets. Dosage and
administration: dosage, storage, and administration are similar to those of
platelets, except that one unit of platelets, pheresis may replace five to eight
units of platelets. One unit of platelets, pheresis can be expected to increase
the platelet count of a 70-kg adult by 30-60,000/ul when measured 10-60 minutes
post-infusion. Red blood cell compatibility is necessary only if the component
is prepared by a method that allows the component to contain= to or >5 mL or
more of red blood cells. |
| Lab Processing Instructions: |
When not available in stock, but
available at the blood supplier, product can be made available within 1-4 hours.
Additional procedure or testing done to unit(s), eg irradiation, CMV screening,
etc., may require longer turn around time. |