Double Volume Exchange Transfusion Clinical Pathway — ICU
Double Volume Exchange Transfusion Clinical Pathway — ICU
Post-Procedure Management
- Send last syringe of withdrawn blood for labs
- Remove exchange transfusion stopcock before reattaching the line to its appropriate set-up and carrier
- Restart phototherapy if exchange was done for hyperbilirubinemia, as levels will rebound quickly with equilibration
- Enter post-procedure note in EHR
- Check temperatures q1hr for minimum 4 hrs
- Keep infant NPO for minimum 4 hrs, and restart feeds cautiously
- Keep NPO for at least 24 hrs if exchange done through low UVC
- Send labs 4 hrs post procedure
- Consult Audiology for testing prior to discharge
- Consider hematology follow-up 2–4 wks post discharge if:
- Coombs+
- ABO incompatible