Effective tool for fluid replacement - risky/must have clear reason 

Not a fix

Not a first choice for fluid replacement

Ready the blood

Catheter placement

Patient monitoring

Sever blood loss is most common reason 

Trama - hit by car

Surgery - spleenectomy

Defects in coagulation - posion, bloat, electrocution 

Petechia/ecchymosis/epistaxis/hematuria

Hematomas/deep muscle hemorrhage

CRT/HR/RR

PCV

TP

PT/APTT

Platelet estimation 

Bleeding time

Active clotting time

RBC

WBC

Platelets

Plasma/Serum

Get patient stabilized with oxygen/fluids

Limit number of whole blood transfusions

Use components - makes better use of components

Fresh up to 8 hours

Refrigerate after 8 hours

Use with patient that needs most/all components

Active bleeding/anemia/massive hemorrhage

Lasts 35 days refrigerated

Good for 4 hours once at room temp

Has RBC/some coagulation factors/plasma protein

Can cause fluid overload 

Lasts 1 month refrigerated 

harvested from whole blood

used to increase RBC mass and O2 

Lasts up to 12 months frozen 

contain coag factors 

used end for clotting disorders 

cannot be refrozen after thawed 

Harvested from fresh whole blood that is less than 8 hrs old

made in clinic 

can't store - use right away

used to stop sever or uncontrolled bleeding 

lasts a year frozen 

fresh frozen plasma thawed very slowly

Concentrated amounts of VW factor VIII and fibrogin

In clinic donors

employee animals

client animals 

commercial blood banks 

At least 1 year of age

at least 55 lbs

healthy and vaccinated

no current meds

greyhounds

Genetic markers on RBC

antigenic

12 blood groups

DEA - dog erythrocytes antigen 

positve or negative 

DEA 1.1 neg - universal donar 

A B group systems 

A, B, AB

Young

Good health

at least 11 lbs

Major - tests for all alloantibodies in recipients plasma

Minor - tests for alloantibodies in donors plasma