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Transfuse FFP- fresh frozen plasma (liquid portion of blood separated from RBCs)

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Fresh Frozen Plasma (FFP) is the liquid portion of blood, rich with coagulation factors and antibodies, used for replenishing blood volume and aiding in clotting during medical treatments. It is obtained by centrifugation and can be stored frozen until required. FFP is particularly valuable in emergency scenarios where specific blood types may not be available, and research is ongoing to develop artificial blood substitutes.

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Fresh Frozen Plasma (FFP) and Its Role in Medicine

Fresh frozen plasma (FFP) is the liquid component of blood that is left after the removal of red blood cells (RBCs) and is separated by the process of centrifugation typically at high speeds, 3000 rpm or higher. Plasma constitutes about 90 percent water and contains various essential substances such as coagulation factors, antibodies, and other components necessary for maintaining the body's pH, osmotic balance, and immune defenses. Importantly, plasma, in contrast to serum, retains the coagulation factors. This specific property of FFP is crucial in situations where patients suffer from conditions that cause abnormal bleeding, such as liver failure, disseminated intravascular coagulation (DIC), or when conducting a massive transfusion protocol.

In emergency situations like car accidents, military conflicts, and disasters, FFP can be used to replace lost blood volume, particularly when whole blood or packed RBCs are not readily available. While blood type and compatibility can be an issue in such conditions, type O plasma, which can usually be given to any recipient, might be utilized as a universal plasma. In some scenarios, saline solutions are administered to mimic the electrolyte composition of plasma until actual plasma can be provided. Research continues toward creating effective artificial blood substitutes containing oxygen carriers like hemoglobin and perfluorocarbons to circumvent the need for type-specific blood transfusions entirely.

In the laboratory, the process for collecting plasma involves using anticoagulants like EDTA or lithium heparin in collection tubes before centrifugation. Once plasma is separated from other blood cells and platelets, it can be frozen and stored as FFP. FFP is then ready to be thawed and transfused into patients when needed, aiding in blood clotting and volume replenishment.

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