अखिल भारतीय आयर्ु विज्ञान संस्थान पटना
ALL INDIA INSTITUTE OF MEDICAL SCIENCES PATNA
हृदय – वक्ष एवं संवाहिका शल्य चिककत्सा ववभाग
Department of Cardiothoracic & Vascular Surgery
Patient Name.………………………………………………….…………………………….Age/ Sex ………………….………………….
CR. No………………………………………………………………Ward/ Bed no...............................................................
Diagnosis……………………………………………………………………………………………………………………………………………..
Consultant – Dr Sanjeev Kumar/ Dr Pragati Kapoor/ Dr Kunal Krishna
Blood Transfusion Note
Transfuse the following blood product with below mentioned specifications, starting with 10
drops/min for 15 minutes then 16-20 drops/min and gradually increasing the flow to complete within
4 hours, with monitoring of vitals at regular intervel.
Blood bag details:
1. Blood group:
2. Blood bag number:
3. Tube number:
4. Date of collection:
5. Date of expiry:
6. Date of issue:
7. Date & time of transfusion:
8. Blood product: PRBC: FFP: Platelet:
Plasma: CRYO:
9. Vitals during blood transfusion: BP: SpO2:
PR: Temp:
RR:
10. In case of any allergic reaction
Like pain, fever, rash, itching, breathing difficulty, collapse, haematuria/ urticaria, chills/
shaking, or any change in vital signs.
To do immediately:
1. Stop blood transfusion immediately and Call doctor on duty, CUG No: 8544423470
2. Give stat 1 amp of Inj. Avil 25mg (2ml) and Inj. Dexona 8 mg (2ml).
3. Flush the cannula used for BT with 10 ml of NS.
4. Secure IV line with cannula in other limb and start NS as advised by doctor on duty.
5. Return blood bag and BT set used in blood transfusion to Blood bank along with post
transfusion blood sample and urine sample.
Date: Resident Name with Signature: