Set the WBCD run targets

Using the physician’s order as a guide, you'll choose procedure run targets based on the options below.

• Whole blood processed (mL). This is the amount of the patient’s blood to be processed. It’s calculated as inlet volume minus anticoagulant (AC) volume. 
• Run time (min). This is the time it takes to complete the run. The clock starts when the patient is connected and you touch Start Run. 
  
  Important: The time limit for a WBCD procedure is 8 hours. If you change a value during the run that causes run time to exceed that, an alarm will occur. 
• TBV processed. This is the number of times the equivalent of the patient’s total blood volume (TBV) will be processed during the procedure. For example, if the patient’s TBV is 4,900 mL and TBV processed is set to the default of 2.0, then 9,800 mL (4,900 × 2) will be processed. You can select a TBV processed number from 0.5 to 5 depending on the patient’s needs.

Review fluid balance inputs

The Spectra Optia system calculates a target fluid balance based on the target collect volume and the AC volume the patient will receive during the run. Note that you will be required to choose a replacement fluid if the fluid balance shown is lower than the level required for the procedure.

The following replacement fluid options are available for the WBCD protocol on Spectra Optia:

• Saline/albumin 
• Plasma 
• Custom (requires citrate content of the fluid)
• RBCs (requires average hematocrit [Hct] of the RBC unit)