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Anaphylactic reactions are excluded by the presence of red plasma or urine, discordant pretransfusion and posttransfusion ABO blood types, or a positive direct antiglobulin (Coombs) test result. Demonstration of anti-IgA in a pretransfusion sample of the recipient's serum or plasma establishes the diagnosis.
Chapter 5. Transfusion Medicine. Routine Transfusion Therapy. â¢ Blood products should not be transfused on a unit basis in. children. â¢ Base the volume of transfusion products on weight to avoid. over or under resuscitation. Â° If only small-volume transfusions are needed, consider. having the blood bank split a unit and save portions of it. for later transfusion (24 h maximum); this will help avoid. multiple donor exposures.