Blood and transfusions

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  • Blood
    • Dog donor
      • Positive attributes
        • friendly
        • nulliparous
        • clinically normal
        • large breed >25kg
        • easily accessible veins
        • universal donor type
        • greyhounds often used for higher PCV
      • negative attributes
        • recent bites
        • acute v+/d+
        • fever
        • pregnant or has been
        • vaccinated within the last 10-14 days
        • parasite burden
        • has had a transfusion
        • on drug therapy
    • Cat donor
      • friendly
      • large cat (>5kg) lean weight
      • high donor PCV is preferred (>35%)
      • dont use pregnant queens
      • tested routinely for FIV/FelV/FIP titres
      • checked for H felis H bartonella, dirofeloria babesia
      • place cephalic catheter
        • sedate with diazepam and ketamine or alfaxalone and sevo via mask
          • butterfly needle in to jugular and withraw sample into syringe with anitcoagulant
    • anticoagulants
      • acid citrate dextrose (ACD)
        • 3 weeks storage (fridge)
          • 1ml per 7-9mls per whole blood
      • Citrate phosphate dextrose adenosine (CPD A1)
        • 4 weeks storage (fridge)
          • 1ml per 7-9mls whole blood
      • heparin
        • use bloods immediately
          • need 2 units heparin per ml of whole blood
    • transfusion
      • administer room temp, ideally 37 degrees
        • do not administer through lines with hartmanns or any other solutions containing calcium
      • take baseline TPR and monitor thoughout transfusion
      • start at 0.5ml/kg/hr for first 15mins checking for acute reactions, then increase to 5-20ml/kg/hr or faster if required.
      • reactions
        • immunological
          • Untitled
        • non immunological
          • Untitled
        • If one occurs

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