Home         Forums  

Go Back   Marrowforums > Practical Issues > Questions and Answers
Register FAQ Search Today's Posts Mark Forums Read

Questions and Answers Not sure where to post a question? Post it here.

Reply
 
Thread Tools Search this Thread
  #1  
Old Tue Feb 19, 2013, 02:06 PM
Lbrown Lbrown is offline
Member
 
Join Date: Oct 2009
Posts: 361
Packed Red Blood Cells

Hi guys,

At my last transfusion, my nurse told me that red cells are all pooled. I asked if they were pooled, then why was each unit a different size. She said something about the amount of plasma, but that just doesn't make sense (if they are pooled). Also, they are often different colours too. I would assume they would extract as much plasma as possible to make IVIG, and a nurse friend of mine doesn't know how they'd ever do cross types & matches if the blood was pooled.

I keep track of the volume of red cells I get for my own info. I thought each unit of red cells was from 1 person. I also thought 200 ml of red cells = 10 points of HGB, but when I googled it recently, it seems more like 300 ml of red cells = 10 points of HGB.

Does anyone have any comments? I am pretty sure red cells can't possibly be pooled, but I might be wrong.

Thanks,
Deb
Reply With Quote
  #2  
Old Tue Feb 19, 2013, 02:20 PM
Marlene Marlene is offline
Member
 
Join Date: Oct 2006
Location: Springfield, VA
Posts: 1,240
I've never heard of red cells being pooled either...just platelets, and white cells. I think your nurse was mistaken.
__________________
Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of January 2017, FE is 233, HGB 11.7, WBC 5.1/ANC 4.0, Plts 146K.
Reply With Quote
  #3  
Old Tue Feb 19, 2013, 02:32 PM
Lbrown Lbrown is offline
Member
 
Join Date: Oct 2009
Posts: 361
I've also been told by 2 nurses now, that all the units have the same amount of hemoglobin in them, which I also find hard to believe. Although if they are all roughly the same size, then I guess I can see it.

I know serum is pooled, didn't know platelets were. WBCs?

Deb
Reply With Quote
  #4  
Old Tue Feb 19, 2013, 03:33 PM
Marlene Marlene is offline
Member
 
Join Date: Oct 2006
Location: Springfield, VA
Posts: 1,240
They used pooled platelets for John while at Hopkins because they were trying to keep his platelet at 50K. So they pooled and matched them.

Once we were back home, his doctor always ordered single donor platelet.

He also got white cells while at Hopkins. Not usually done since it's difficult for the body to handle. From what they explained, it takes about 2 -3 days to find multiple donors for this. Lots of coordination. But then, I'm not sure they were pooled. They were probably single units from each person. He was supposed to get 5 straight days of them but they had to stop after 3 days.

I too find it hard to believe the HGB amount is the same.
__________________
Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of January 2017, FE is 233, HGB 11.7, WBC 5.1/ANC 4.0, Plts 146K.
Reply With Quote
  #5  
Old Tue Feb 19, 2013, 03:40 PM
Lbrown Lbrown is offline
Member
 
Join Date: Oct 2009
Posts: 361
It must be hard to get white cells.

I can see getting multiple units of cells that come from different donors like you say.

I also read in the newspaper (so it may not be accurate) that you develop antibodies to a particular donor's blood, so a person can only donate cells to you once, but I don't know how true that is either.

I don't worry about these things, but for some reason today I am coming up with a bunch of stuff that I find a bit hard to believe. Go figure. LOL.

Deb
Reply With Quote
Reply


Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

vB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
Talking Telomeres Greg H MDS 153 Tue Apr 12, 2016 02:19 AM
Large red blood cells LORID Questions and Answers 9 Thu Oct 21, 2010 08:01 PM
Bone marrow cells or peripheral blood cells in AML Birgitta-A Transplants 0 Wed Aug 12, 2009 05:16 AM


All times are GMT -4. The time now is 05:10 AM.


Powered by vBulletin® Version 3.6.7
Copyright ©2000 - 2017, Jelsoft Enterprises Ltd.
Forum sites may contain non-authoritative and unverified information.
Medical decisions should be made in consultation with qualified medical professionals.
Site contents exclusive of member posts Copyright 2006-2016 Marrowforums.org