Apheresis

What frequency do "frequent plasmapheresis" donors donate at?

More than every 4 weeks

Which categories of treatment are able to be reimbursed?

category I and II

What is therapeutic apheresis?

removal of blood component for therapeutic purposes

What is leukapheresis?

removal of leukocytes

What is plateletpheresis?

removal of platelets

In which diagnoses is erythrocytapheresis a category I treatment?

sickle cell disease in severe crisis

How frequently can a donor do plateletpheresis (between procedures, per week, per year)?

48 hours between procedures, no more than 2 per 7 days, no more than 24 per year

What is the minimum height and weight for male donors for double RBC donation?

5'1" and 130 lbs

What is the minimum height and weight for female donors for double RBC donation?

5'5" and 150 lbs

What is the maximum total plasma loss per year for donors less than 175 and more than 175 lbs?

< 175 lbs = 12 L > 175 lbs = 14.4 L

What testing is required for frequent plasmapheresis donors?

Annual physical, total protein, protein electrophoresis, Ig levels

In which diagnoses is plasmapheresis a category I treatement?

Cryoglobulinemia, TTP, Guillain-Barre, Goodpasture's syndrome, IgG/IgA paraproteinemic polyneuropathies, hyper viscosity in monoclonal gammopathies

What is the minimum platelet count for plateletpheresis?

Great than or equal to 150,000

What is immnoadsorption?

The separated plasma is passed over a column with an component to remove immunoglobulins

What is the minimum hematocrit for males and females for RBC apheresis?

40% for both

What is filtration selective removal?

Plasma is separated from whole blood using filer with a selective pore size

What is apheresis?

Procedure in which whole blood is removed from the body and passed through an apparatus that separates one or more blood components. The remaining is then returned to the donor

What is erythropheresis?

Removal of erythrocytes

What is plasmapheresis?

Removal of plasma

What is extracorporeal photopheresis?

patient's photoactive psorlan treated WBCs removed and treated with ultraviolet A light, treated WBCs returned to patient

What is the maximum acceptable red cell loss?

~1400 mL