In older child, can 3 units of blood be given at one sitting?
Transfusions should be given in form of one or two compatible PRBC units. A 40 kg child will require around 400 ml blood (10 mL/kg) and hence two PRBC units. An average PRBC unit contains 250 mL red cells (minus anticoagulant). With more number of units, there are chances of reactions arising from interactions between units of blood transfused. Also raising Hb levels to very high levels is not desirable.
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