Plasmapheresis sheet

1. Mansoura University
Children's Hospital
Nephrology Unit
Plasmapheresis prescription sheet
Name: Date: Weight:
Age: Sessionno: Height:
Diagnosis: Consultant stuff: S/A:
Htc: sr. albumin: PT: INR:
 Access:
 Priming: 0.9% saline 4.5% albumin whole blood
 Bloodflow (pump rate): ml/min(100-150 ml/min)
 Filter: ●Machine:
 Plasma volume: L. ●Exchange: x1 x1.5
{0.065 X weight (kg)}X (1-Hct)
 Volume to be exchanged: ml
 Duration: min
{Plasma volume X exchange (1 or 1.5)}/ Plasma filtration rate (30% of blood flow rate)

 Replacementfluid:
Albumin 4.5%(50 ml albumin 20% + 175 ml 0.9% saline) ml.
Fresh frozen plasma ml.
albumin 4.5% ml+ fresh plasma ml.
 Premedication: Hydrocortisone(2-4 mg/kg): ml.
Chlorpheneramine: ml.
(< 1y 250mcg/kg, 1-5 y 2.5-5mg, 6-12 y 5-10mg, > 12 y 10-20mg)
 If blood pressure dropped below mmHg, give 10 ml/kg 0.95%saline ( ml).
 If blood pressure higher than mmHg, give Nifedipin mg sublingual.
 Complications:
 Postplasmapheresis dialysis: hemodialysis ultrafilration
Duration: excess weightremoved:
Resident: Nurse:
Anticoagulant: “heparin”
Initial bolus:
(BW 5-55 kg→30-50 unit/kg, BW>55 kg→ 30 unit/kg)
Infusion during dialysis (15-20 U/kg/h):
Calcium gluconate 10% (0.25 ml/kg):