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  • Massive Transfusion Protocol

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    Rigel Kent C. Tobias
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    Massive transfusion protocols are activated when patients require more than 10 units of packed red blood cells over 24 hours or 5 units in 1 hour due to significant blood loss from trauma, shock, hemorrhage or surgery. These patients are at high risk for coagulopathies from the transfusions. The protocols aim to replace blood and plasma in a 1:1 or 2:2 ratio while also managing electrolyte abnormalities and hypothermia that can result from large volume transfusions.

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    Massive transfusion protocols are activated when patients require more than 10 units of packed red blood cells over 24 hours or 5 units in 1 hour due to significant blood loss from trauma, shock, hemorrhage or surgery. These patients are at high risk for coagulopathies from the transfusions. The protocols aim to replace blood and plasma in a 1:1 or 2:2 ratio while also managing electrolyte abnormalities and hypothermia that can result from large volume transfusions.

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    © All Rights Reserved
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    11 views1 page

    Massive Transfusion Protocol

    Uploaded by

    Rigel Kent C. Tobias
    Massive transfusion protocols are activated when patients require more than 10 units of packed red blood cells over 24 hours or 5 units in 1 hour due to significant blood loss from trauma, shock, hemorrhage or surgery. These patients are at high risk for coagulopathies from the transfusions. The protocols aim to replace blood and plasma in a 1:1 or 2:2 ratio while also managing electrolyte abnormalities and hypothermia that can result from large volume transfusions.

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    © All Rights Reserved
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    MASSIVE TRANSFUSION PROTOCOL

    Overview
    Massive transfusion protocols exist when patients require more than 10 units of PRBC in a 24 hour
    period or 5 units of PRBC 1 hour. Patients with massive blood transfusions are at an increased risk for
    coagulopathies.

    Nursing Points
    General
    I. Indications for Massive Transfusion Protocol
    A. Trauma
    B. Hypovolemic shock
    C. Hemorrhage
    D. Surgery
    II. Complications
    A. Coagulopathies
    B. Electrolyte abnormalities
    C. Hypothermia
    III. Administration
    A. 1:1 or 2:2 ratio
    B. 2 units of PRBC: 2 Units of Plasma
    C. Replace/Manage electrolytes as needed

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