Double Volume Exchange Transfusion Clinical Pathway — ICU
Double Volume Exchange Transfusion Clinical Pathway — ICU
Lab Schedule
Order all labs to be drawn during the procedure before starting.
Start of exchange optional labs: Discuss if any of these tests should be sent as results will be affected by the exchange if not sent prior to starting.
Lab Schedule During Exchange Transfusion
| Timeframe | Volume | Labs | Optional |
|---|---|---|---|
| Pre-Procedural | 6.9 mL |
|
|
| Start of Exchange | 2.5 mL 2 mL without NB screen |
|
|
| Every 15 mins | 0.2 mL | Glucose | If clinically unstable, blood gas with ionized calcium |
| Every 30 mins | 1 mL | Blood gas with ionized calcium | |
| At 60 mins | 0.5 mL |
|
|
| End of Exchange | 2 mL |
|
|
| 30 min Post-Exchange | 0.2 mL | Glucose | |
| 60 min Post-Exchange | 0.2 mL | Glucose | |
| 4 hrs Post-Exchange | 1 mL |
|