218k views
2 votes
After the completion of a packed red blood cell (PRBC) transfusion, what is the expected change in lab values, specifically hemoglobin and hematocrit, and how do these changes reflect the effectiveness of the transfusion in addressing the patient's hemodynamic status?

User Karimi
by
8.5k points

1 Answer

4 votes

Final answer:

After a PRBC transfusion, hemoglobin and hematocrit levels increase, indicating an improved oxygen-carrying capacity and suggesting an effective response to anemia or blood loss.

Step-by-step explanation:

After the completion of a packed red blood cell (PRBC) transfusion, you can expect an increase in both hemoglobin (Hgb) and hematocrit (Hct) levels. Hemoglobin is the oxygen-carrying compound in erythrocytes, and hematocrit is the volume percentage of erythrocytes in a sample of centrifuged blood. For an effective transfusion, the hematocrit values should approach normal levels which, on average, are about 41% for females and 47% for males. Clinically, each unit of PRBCs transfused is expected to raise the hemoglobin level by approximately 1 gram per deciliter and the hematocrit by about 3 percentage points. The effectiveness of the transfusion in addressing a patient's hemodynamic status can be gauged by measuring these values post-transfusion and noting an increase towards normal ranges. This increment reflects an improved oxygen-carrying capacity of the blood, which in turn should ameliorate symptoms of anemia such as fatigue and shortness of breath, thereby enhancing tissue oxygenation and patient well-being.

User Mohit Solanki
by
7.1k points
Welcome to QAmmunity.org, where you can ask questions and receive answers from other members of our community.