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Get Rainy Lake Medical Center Blood Transfusion Pre-printed Orders 2006-2024

Al Hgb level ____________ Diagnosis ___________________________________________ Allergies ____________________________________________ Diet ________________________________________________ 3. Type and Cross ____________ units of PRBC or ____________ units of Leukocyte poor blood 4. Start I.V. or Normal Saline 30ml per hour (16, 18 or 20 gauge cannula) 5. Pre medicate with: (check all that apply) â–¡ Acetaminophen (Tylenol) 650 mg P.O. X 1 dose â–¡ Diphenhydramine (Benadryl) 25 or 50 (circle on.

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