Albumex TM20

• Albumex TM20 is free of the risk of infectious disease as it is heat inactivated.
• Albumex TM20 comes in two sizes - 10ml and 100ml and is made from large pools of New Zealand donor plasma.  It is used for babies with low protein and oedema.
• Request 100ml volume as 10ml ampoule is too small to filter using blood filter giving set.
• Can be utilised 2 ways: 
  • As a volume expander like TM4.
    Must be diluted - 1 part to 4 parts of 0.9% sodium chloride.
  • To draw fluid out of the tissues.
    Albumex TM20 draws 4 volumes of fluid from the extra cellular fluid into the circulation.
    Thus, 20ml of Albumex TM20 results in approximately 80ml increase in the circulating volume.
    This can cause volume overload, particularly in the presence of renal failure.
    It should be given undiluted over 1 hour (approximately).  2gm in 10ml is equal to 40ml Albumex TM4.
• Once the bottle is opened it must be used straight away.

Parental Consent

• Informed consent required.
• Parent signs on Agreement to Treatment Forms (CR0111).

Prescribing of Albumex TM₂₀

• Prescribed on the blood transfusion/IV fluid cart (CR5541).

Ordering

• On NZBS requisition form (111F01802).

Checking, Administration, Monitoring and Documentation

• As for blood and blood products.
• Checking
• Administration
• Monitoring
• Documentation

Adverse Reactions

• See Transfusion Reactions

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