Provided as 55 x 109 platelets
(minimum) in 60ml of plasma.
- During Monday to Friday can
be concentrated to 20ml if Blood Bank is notified by early afternoon.
- For CMV considerations -as
for red cell transfusions P.5. The Big Blue Blood Bank Book (BBBBB)
- For irradiation
considerations -as for red cell transfusions P5. BBBBB*
- Platelets contain a few red
cells. Therefore a Rh negative baby receiving platelets from a Rh positive
donor will need Anti-D 0.5ml (about 62ug) subcutaneously within 72 hours
(usually straight away) after the platelets to prevent baby producing own
- Subsequent infusions of
platelets - if Anti-D is detectable in baby's blood there is no need
to give more Anti-D subcutaneously. One injection per week is generally
sufficient. If in doubt check baby's serum for presence of Anti-D.
The usual infections risk of
blood transfusion apply also to platelets, e.g. HIV, HBV, HCV and NANB
hepatitis, CMV, Syphilis, Malaria, etc or bacterial contamination of the
Keep at Room Temperature:
Mix well. Use platelets as soon as they arrive on ward.
Draw into new plastic syringe
through new 170ug blood filter.
Volume to Transfuse
contains 55 x 109 platelets in 50ml.
Normally give 10ml (11 x
109) per kg, which is expected to raise count by
approximately 110 x 109/L.
Infuse over 30-60 mins,
mixing syringe from time to time to avoid platelets settling out.
Check post-transfusion platelet count
Ring ARBC during office hours or
Auckland BB after hours to speak to duty medical specialist.
- Patients name
- Hospital number
- Blood group
- Red blood cell antibodies (if there are
- Ward number
Current platelet count
for platelet transfusion
- Whether there are any restrictions on
volume that can be infused and also whether there are coagulation
factor deficiencies. (Only platelets made the same day will have
plasma rich in clotting factors).
cellular blood product request form (S440) in usual way and send to your Blood
For further details see:- *The
Big Blue Blood Bank Book.
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