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    1 views2 pages

    Dosis Dan Cara Pemberian Transfusi PRC

    Uploaded by

    Novhy Ganggut

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Nama : Elisabeth E.

    Patty
    NIM : 1208017049

    Dosis dan Cara Pemberian Transfusi PRC


    1. Setiap unit PRC akan menaikkan konsentrasi Hb kira-kira 1 g/dL atau kenaikan
    hematokrit sekitar 3%
    2. Hampir semua anak-anak mentoleransi dosis 5-10ml/kg. Dosis neonatus adalah 10-15
    ml/kg.
    3. Digunakan dosis 5ml/kg apabila hematokrit <20% dan dosis 2.5ml/kg bila hematokrit
    <10%.
    4. Transfusi PRC 3ml/kg akan menaikkan Hb 1g/dl atau 10ml/kg akan menaikkan
    hematokrit 10%.
    5. Lama pemberian PRC minimum 2 jam, maksimum 4 jam.

    Sumber :
     Pedoman Pelayanan Medis Jilid II tahun 2011
     Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services
    Professional Advisory Committee – Neonatal and Children Transfusion
    The 4-5-6 rule for erythrocyte transfusion for acute normovolemic anaemia

    Consider a transfusion if the following occurs at an Hb < 4 mmol/L:


    - acute blood loss in a healthy individual (ASA I, see table 5.1.3) < 60 years,
    normovolemic, blood loss at 1 location

    Consider a transfusion if one of the following situations occurs at an Hb < 5 mmol/L:


    - acute blood loss in a healthy individual (ASA I, see table 5.1.3) of > 60 years and
    normovolemic, blood loss from 1 location
    - acute blood loss in healthy individuals < 60 years, normovolemic, bleeding from several
    locations (poly-trauma patients)
    - patient < 60 years, pre-operative, with an expected blood loss > 500 mL
    - fever
    - post-operative phase following open heart surgery, uncomplicated
    - ASA II and ASA III

    Consider a transfusion if one of the following situations occurs at an Hb < 6 mmol/L:


    - ASA-IV patients
    - patient who is unable to increase the heart minute volume to compensate for
    haemodilution
    - septic* and toxic patient
    - patient with severe lung disease
    - patient with symptomatic cerebrovascular disease

    Sumber :
    Blood Transfusion Guideline - National Users’ Board Sanquin Blood Supply

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