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Fresh Frozen Plasma: Causes, Symptoms, Treatment and Cost

Last Updated: Jul 06, 2023

What is Fresh frozen plasma therapy?

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Fresh frozen plasma therapy (FFP) is a medical treatment that involves the transfusion of fresh frozen plasma (FFP) into a patient's bloodstream. FFP is a part of whole blood that includes proteins, clotting factors, and other substances required for healthy blood clotting and other physiological activities. This therapy can be used to treat various conditions such as trauma, bleeding disorders, and burns.

Types of Fresh frozen plasma therapy:

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  • Whole Blood Transfusion: This type of transfusion uses fresh frozen plasma that has been separated from red blood cells and other components. It is used to replace lost fluid and provide clotting factors, proteins, and other nutrients.
  • Platelet Transfusion: This type of transfusion is used to replace platelets that have been lost due to a variety of causes, including chemotherapy or radiation therapy. Platelets are administered as a single unit or in conjunction with red blood cells.
  • Cryoprecipitate Transfusion: This type of transfusion uses cryoprecipitated plasma which has been frozen and concentrated to increase the concentration of clotting factors, such as fibrinogen and Factor VIII. It is used to treat bleeding disorders or conditions where there is an increased risk for bleeding.
  • Albumin Transfusion: Albumin is a protein found in the blood that helps maintain fluid balance in the body and can be given as a replacement for lost albumin due to trauma or illness. Albumin transfusions are often used in critically ill patients who are unable to produce enough albumin on their own.

Benefits of Fresh frozen plasma therapy:

  • The main benefit of FFP therapy is its ability to replace lost or damaged proteins in the patient's body.
  • It can also help restore normal clotting factors and provide essential nutrients needed for healing.
  • FFP can reduce the risk of infection by providing antibodies that are present in healthy individuals but may be lacking in patients with certain medical conditions.
  • FFP can reduce the need for transfusions of red blood cells or platelet concentrates which may carry additional risks such as transmission of diseases or adverse reactions due to incompatibility between donor and recipient blood types.

Why is Fresh frozen plasma therapy done?

  • Fresh frozen plasma (FFP) therapy is done to replace lost or deficient blood components. FFP contains all the clotting factors, proteins, and other elements needed for normal blood clotting.
  • It is used to treat a variety of conditions, including massive bleeding due to trauma or surgery, severe liver disease, and certain types of anemia.
  • FFP can also be used as a source of proteins and other nutrients in cases of malnutrition or malabsorption.
  • Additionally, it is sometimes given to patients with immune system disorders or during organ transplantation to reduce the risk of rejection.

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What are the risks of Fresh frozen plasma therapy?

The risks associated with Fresh Frozen Plasma (FFP) therapy include:

  • Transfusion-related acute lung injury (TRALI): This is a serious and potentially life-threatening complication of FFP transfusions, in which the patient experiences difficulty breathing, low blood pressure, and other symptoms.
  • Allergic reactions: These can range from mild to severe and may include skin rash, itching, hives, and anaphylaxis.
  • Infectious diseases: FFP may contain viruses or bacteria that could cause infection in the recipient if not properly screened prior to transfusion.
  • Transfusion-associated circulatory overload (TACO): This is a condition in which too much volume is infused into the bloodstream too quickly, leading to heart failure or other complications.
  • Hemolytic reactions: These occur when red blood cells are destroyed by antibodies in the FFP or by incompatibility between donor and recipient blood types. Symptoms may vary from moderate to severe and include fever, chills, nausea, vomiting, chest discomfort, shortness of breath, low blood pressure, and jaundice.

How do I prepare for Fresh frozen plasma therapy?

  • Preparing for fresh frozen plasma (FFP) therapy requires a few steps.
  • First, you should speak with your doctor about the procedure and any potential risks or side effects.
  • You may also need to have certain tests done before the procedure, such as a complete blood count and clotting factor tests.
  • Your doctor will also need to review your medical history in order to determine if FFP therapy is safe for you.
  • Before the procedure, it's crucial to adhere to all of the guidelines your medical provider gives you. This may include fasting for 8-12 hours before the therapy begins and avoiding certain medications or supplements that could interfere with the treatment.
  • Drink lots of water before the session to keep hydrated.
  • Finally, it is important to arrive at least 15 minutes before your scheduled time in order to allow enough time for preparation and any paperwork that needs to be completed.

How Fresh frozen plasma therapy is done?

The process of FFP therapy involves collecting blood from a donor and separating it into components in order to isolate the plasma. The plasma is then frozen and stored for future use. When required, the frozen plasma is thawed and administered intravenously to the patient.

Steps to perform Before the procedure

  • Obtain informed consent from the patient.
  • Perform a physical examination of the patient.
  • Administer pre-procedure antibiotics as ordered by a physician, if necessary.
  • Prepare equipment needed for the procedure, such as sterile gloves, gauze pads, IV catheters and tubing, syringes, etc., according to hospital policy.
  • Start by preparing the patient for the procedure. This includes assessing their vital signs, checking for any allergies or adverse reactions to the plasma, and ensuring that they are comfortable and relaxed.

Steps to perform During the procedure

  • Collect a sample of fresh frozen plasma from a donor or blood bank. The plasma should be thawed in accordance with manufacturer instructions prior to use.
  • Connect an intravenous (IV) line to the patient’s arm and administer the fresh frozen plasma slowly over a period of time as prescribed by their doctor or healthcare provider.
  • Monitor the patient’s vital signs and reactions to the infusion throughout the procedure, adjusting speed and dosage as needed in order to ensure safety and comfort for them during treatment.
  • Once complete, remove the IV line from the patient’s arm and dispose of any used supplies according to local regulations before cleaning up your work area accordingly.

Steps of perform After the procedure

  • Monitor the patient's vital signs after administration of fresh frozen plasma therapy for any signs of adverse reaction or complications from the procedure.
  • Administer supplemental fluids as needed to maintain hydration levels during and after the procedure.
  • Document all procedures performed, medications administered, and any reactions observed in the medical record for future reference if needed.

How much does Fresh frozen plasma therapy cost in India?

Generally, the cost of FFP therapy in India ranges from Rs. 10,000 to Rs. 25,000 per unit depending on the quantity and quality of the product used.

What to eat after Fresh frozen plasma therapy?

  • Following Fresh Frozen Plasma (FFP) therapy, it's critical to maintain a healthy diet rich in nutrients to provide the body the energy and nutrition it needs to heal and restore.
  • Following FFP therapy, you should incorporate foods like lean meats, fruits, veggies, whole grains, nuts, legumes, and essential fats in your diet.
  • It is also important to drink plenty of water throughout the day to stay hydrated and help flush out toxins from your body.
  • Some specific foods that are beneficial after FFP therapy include: lean meats (chicken, turkey, fish), eggs, yogurt/kefir/cottage cheese, legumes (beans/lentils), nuts/seeds (almonds/walnuts), whole grains (oats/quinoa), fruits (berries/apples), vegetables (leafy greens/broccoli), and healthy fats (olive oil/avocado).
  • Additionally, it is important to limit processed foods and sugary drinks as much as possible after FFP therapy as these can interfere with recovery time and cause inflammation in the body.

Is Fresh frozen plasma therapy safe?

Yes, fresh frozen plasma therapy is generally safe when administered by a medical professional. The risks associated with this therapy are mostly related to the potential for allergic reactions or infections from the transfusion of donor blood products. By adequately screening donors before a transfusion and employing aseptic methods, these risks may be reduced.

Is Fresh frozen plasma therapy painful?

No, Fresh Frozen Plasma (FFP) therapy is not painful. Although the procedure causes no pain or discomfort to the patient, some individuals may have mild side effects like nausea or dizziness.

How long does it take to recover from Fresh frozen plasma therapy?

The recovery time from Fresh Frozen Plasma (FFP) therapy depends on the individual and the severity of the medical condition being treated. Two to four weeks are typically required for a person to recover after FFP therapy. Depending on their general health and the complexity of their ailment, however, some individuals may have lengthier recovery periods.

What are the side effects of Fresh frozen plasma therapy?

  • The most common side effects of fresh frozen plasma therapy include fever, chills, headache, nausea, vomiting, and low blood pressure.
  • Other less common side effects may include allergic reactions such as hives or rash; a decrease in the number of red blood cells or platelets; or an increase in the number of white blood cells.
  • Rarely, more serious side effects can occur such as anaphylaxis (a severe allergic reaction), infection from viruses that may be present in the plasma product, or a transfusion-related acute lung injury.

Fresh frozen plasma therapy Aftercare:

After receiving FFP therapy, it is important to monitor your health closely and follow up with your doctor as needed.

  • Monitor Vital Signs: After receiving FFP therapy it is important to monitor your vital signs such as heart rate and blood pressure regularly. This will help to detect any potential complications or side effects from the transfusion.
  • Monitor for Signs of Bleeding: It is also important to monitor for signs of bleeding such as bruising or nosebleeds after receiving FFP therapy. Contact your physician promptly if you encounter any signs of bleeding for additional assessment and treatment, if required.
  • Follow Up With Your Doctor: After receiving FFP therapy it is important to follow up with your doctor regularly for check-ups and monitoring of your condition. Your doctor may also recommend additional tests or treatments depending on the results from the initial transfusion or if you experience any new symptoms after the procedure.
  • Avoid Alcohol: It is important to avoid alcohol while receiving FFP therapy as this can increase the risk of developing adverse reactions or side effects from the transfusion such as fever, chills, nausea, vomiting, headache, dizziness and even anaphylaxis in some cases.
  • Avoid Certain Medications: Certain medications can interact with FFP therapy so it’s important to avoid these while receiving treatment including aspirin and non-steroidal anti-inflammatory drugs (NSAIDs). Talk with your doctor about any medications you are taking before undergoing FFP therapy so they can advise you on which ones should be avoided during treatment if necessary

Conclusion:

Fresh frozen plasma therapy is a safe and efficient method of treating a range of medical ailments. It can help to reduce symptoms associated with certain diseases and can be used to treat bleeding disorders, autoimmune diseases, and other conditions. Fresh frozen plasma treatment may be an effective method for enhancing general health if it is monitored and administered correctly.

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Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
Reviewed By
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Reviewed ByDr. Bhupindera Jaswant SinghMD - Consultant PhysicianGeneral Physician

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