TRANSFUSION & FEVER

Even with using filters, sometimes fragments of white blood cells still get through with the transfused blood, and this can cause the reaction. As a precaution, consider using an antihistamine before the transfusion begins. If the problem repeats, a Coombs test should be done to see if it is an antibody reaction.

Dear Andy,

My baby is now 4 yrs old and her weight is 18 kg.She takes transfusion after every 4 weeks when her HB 9.50 to 10.00.

As there are various donor donate then packed cell quantity also vary every month.Sometimes it above 250 ml or sometimes 200 to 220 ml. For that every patients HB should vary..So patients HB sometimes drop early than last time.

For this problem what to do? What is the standard transfusion calculation? Per kg 15/20 ml ??

I'm not sure there is a solution other than taking an extra bag of blood, and that may not be possible.