Selection of Blood Components



|Selection of Blood Components |

|Components |Patients ABO/Rh|Donor Unit |Acceptable |Rationale |Patient Rh Type|Donor Rh Type |Acceptable Alternative Donor Rh Type |

| | |Type |Alternative Donor | | | | |

| | | |ABO | | | | |

| | | | |Donor red cells must be compatible|Rh Pos |Rh Pos |Rh Negative |

| |O |O |NONE |with the antibodies in the |Rh Neg |Rh Neg |None (except in extreme shortages of Rh Neg units or an emergency, Rh Pos |

|Packed Red Blood Cells |A |A |O |recipient’s plasma | | |units are acceptable unless the patient is a woman of childbearing age, a |

| |B |B |O | | | |child or a patient with Anti-D Antibody) |

| |AB |AB |A,B,O | | | | |

|24 Hour FFP (Fresh Frozen |O |O |A,B,AB |Donor plasma must be ABO | | | |

|Plasma ) |A |A |AB |compatible with the recipient’s |Rh Pos |Rh Pos |Either Rh type is Acceptable |

| |B |B |AB |red cells |Rh Neg |Rh Neg |NOTE: 24 Hour FFP may have reduced levels of Factor VIII and Factor V. |

| |AB |AB |NONE | | | | |

| | | | |All ABO types are acceptable: | | | |

| |O |O |A,B,AB |Components compatible with |Rh Pos |Rh Pos |Either Rh type is Acceptable unless the Rh Neg patient is a woman of |

|Platelet Pheresis |A |A |B,AB,O |recipient’s RBC’s are preferred |Rh Neg |Rh Neg |childbearing age (less than 65 years of age) or a child then Rh Neg should be|

| |B |B |A,AB,O | | | |used if available. If Unavailable-Notify Patient’s MD |

| |AB |AB |A,B,O | | | | |

| | | |Any type is | | | | |

| |O |O |Acceptable |There is not enough plasma in Cryo|Rh Pos |Rh Pos | |

|Cryoprecipitate/ Pooled |A |A |ABO compatible |to cause harm to recipient |Rh Neg |Rh Neg |Either Rh type is Acceptable |

|Cryo |B |B |preferred | | | | |

| |AB |AB | | | | | |

| |O |O |None |Contaminating red cells must be |Rh Pos |Rh Pos |Rh Neg |

| |A |A |O |compatible with the Antibodies in | | | |

|Granulocytes |B |B |O |the recipient’s blood |Rh Neg |Rh Neg |None (except in an emergency) |

| |AB |AB |A,B,O | | | | |

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