Discussion Forums > Thalassemia Major

transfusion rate for 10 months old

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Andy Battaglia:
The initial transfusion rate is 2 mL/minute for the first 15 minutes. Once it is apparent that there is no reaction, the suggested rate for transfusions is 5 ml/kg per hour, so the standard actual transfusion time for 100 ml is about 3 hours. You may have been told a longer time for two reasons. First, this estimate may include the prep time before the transfusion, and second, the rate may be slower for the initial transfusion(s). Blood should not be given at a faster rate unless it is an emergency situation involving blood loss, as the sudden introduction of a higher volume can stress the heart.

pmeet:
2ml/minute for first 15 mins means 30 ml in first 15 mins. Which means too fast  :huh

Did you mean 2ml per kg per hour andy?

Andy Battaglia:
Thanks for pointing that out, pmeet. That is a mistake in the quoted source and is actually repeated at many other sources. Yes, it should read 2 mL/kg/hour. I will be replacing our document on Blood Administration with a new one without the typo.

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