Central Zone Blood Component Administration

Quick Reference Chart-Adult

Start all RBC transfusions slowly, at a rate of 1-2 mL per minute for the first 15 minutes and remain with the patient
for the first 5 minutes. For the next 10 minutes have the patient in view and perform non-dedicated tasks.

For more detailed information, refer to the AHS Procedure: Transfusion of Blood Components and Products at
https://extranet.ahsnet.ca/teams/policydocuments/1/clp-prov-transfusion-blood-product-procedure-ps-59-03.pdf

Perform and document vital signs pre-transfusion, at 15 min and q 1hour for the remainder of the transfusion.
Refer to the AHS Blood Components & Products Information/Monographs for complete information:
http://www.albertahealthservices.ca/3319.asp

Infusion/Rate Information Tubing Special Considerations

Product Filter
Changes
RBC’s Standard Blood • 1-2 mL/min for first 15 min. 8 hours or as Compatible only with Normal
Administration Set then at the prescribed rate. per saline.
• Typical infusion is over 2 manufacturers
hours for an adult. recommendation Assess the patient and take
• Not to exceed 4 hours. post-transfusion vital signs
one hour after the infusion is
completed.
Platelets Standard Blood • 2 mL/min for first 15 min. Single use Compatible only with Normal
Administration Set then at the prescribed rate. saline.
• Recommended infusion
time is over 30-60 minutes
per dose.
Fresh Standard Blood • 2 mL/min for first 15 min. 8 hours. or as FFP-Must be infused within
Frozen Administration Set then at the prescribed rate. per 24 hours of thawing.
Plasma • Recommended infusion manufacturers FP-Must be infused within 5
(FFP) time is over 30-120 minutes recommendation days of thawing.
Frozen If used as a source of Factor
Plasma VIII there may be loss of
(FP) labile factors after 6 hours.
Cryo- Small volume • 2 mL/min for first 15 min Single use Saline 0.9% may need to be
precipitate administration set then at the prescribed rate added to each bag to
with in-line 170 • Recommended infusion facilitate recovery of product
micron filter time of one adult dose is if not pooled.
provided by Blood 10-30 minutes.
Bank/Laboratory Expires within 4 hours of
pooling.
Whole Standard Blood • 1-2 mL/min for first 15 min. 8 hours or as Compatible only with Normal
Blood Administration Set then at the prescribed rate. per saline
• Not to exceed 4 hours. manufacturers
recommendation

Patient Notification
Refer to reverse side of Notification of Administration of Blood or Blood Products (Form # 103684) for a list of
products that require a notification product.
If applicable, label above form with the patient’s ID and complete it
Remove the notification card from the bottom right corner of the form and give to the patient or substitute decision
maker
Document the issuance of the card in the indicated section of the form
Only one card per inpatient admission is required even if multiple products were administered. Chronically
transfused patients, who attend for an outpatient course of treatment, only need to receive a card once per year.

Administration Quick Reference: Adult Page 1 of 2 Ver. 1.1, Jun 2017

 Central Zone Blood Product Administration
Quick Reference Chart-Adult

Start all transfusions slowly, at a rate of 1-2 mL per minute for the first 15 minutes and remain with the patient for the
first 5 minutes. For the next 10 minutes have the patient in view and perform non-dedicated tasks.

For more detailed information, refer to the AHS Procedure: Transfusion of Blood Components and Products at
https://extranet.ahsnet.ca/teams/policydocuments/1/clp-prov-transfusion-blood-product-procedure-ps-59-03.pdf

Perform and document vital signs pre-transfusion, at 15 min and q 1hour for the remainder of the transfusion.
Refer to the AHS Blood Components & Products Information/Monographs for complete information:
http://www.albertahealthservices.ca/3319.asp

Maximum Infusion Tubing

Product Filter Special Considerations
Time Changes
Albumin No filter required- • 25%- Rate not to Single use Available as 25% or 5%.
Use standard IV exceed 1-2 mL/min
pump or gravity • 5%-Rate not to exceed
tubing. 5 mL/min
Intravenous Gamunex®/IGIVnex Follow Infusion Single use Available in 5% or 10% vial or bag.
Immune • No filter required Protocols as outlined in
Globulin Privigen AHS Adult 10% IVIG Use D5W as primary IV. Do not
(IVIG) • No filter required Infusion Rate Table give with Normal Saline.
Octagam® http://www.albertahealth
• No filter required services.ca/assets/wf/la At Red Deer Hospital, when using
Panzyga® b/wf-lab-clin-tm-adult- Gammagard S/D® the Hemo-Nate®
• No filter required rate-ivig.pdf 18 micron in line filters are available
Gammagard S/D® from Medical Dayroom or NICU.
• Hemo-Nate® 18
micron in line filter
Rh Immune No filter required • Recommended IV N/A Assess the patient for any signs of a
Globulin rate= 1500 reaction 20 minutes after dose
(RHIG) IU(300ug)/5-15 administered.
seconds
• Recommended IM
rate=as tolerated by
the patient
Prothrombin Filtered through octaplex®- N/A Vitamin K1 10 mg IV co-
Complex reconstitution device 2-3mL/min administration is strongly
Concentrate provided with recommended with the first dose of
(PCC) product Beriplex®-8mL/min PCC if a reversal is required for
longer than 6 hours.
Factor VIII As provided with Within 3 hours of N/A Quantity of Factor VIII present in
product reconstitution each vial noted as International
Units (IU).
Factor IX As provided with Within 3 hours of N/A Quantity of Factor IX present in
product reconstitution each vial noted as International
Units (IU).
Patient Notification
Refer to reverse side of Notification of Administration of Blood or Blood Products (Form # 103684) for a list of
products that require a notification product.
If applicable, label above form with the patient’s ID and complete it.
Remove the notification card from the bottom right corner of the form and give to the patient or substitute decision
maker.
Document the issuance of the card in the indicated section of the form.
Only one card per inpatient admission is required even if multiple products were administered. Chronically
transfused patients, who attend for an outpatient course of treatment, only need to receive a card once per year.
Administration Quick Reference: Adult Page 2 of 2 Ver. 1.1, Jun 2017