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Calcimator

Blood Transfusion Calculator

Calculate packed RBC units needed from current and target hemoglobin with estimated blood volume.

Inputs

Results

Units of pRBC Needed

3

Exact Units Calculated2.6
Estimated Blood Volume (mL)4,900
Hemoglobin Deficit (g/dL)3
Expected Post-Transfusion Hgb (g/dL)10.5
Total Transfusion Volume (mL)900
How to Use This Calculator
  1. Enter Patient Weight (kg), Current Hemoglobin (g/dL), and Target Hemoglobin (g/dL).
  2. Set Blood Volume Factor (mL/kg) — use 70 mL/kg for adults, 80 for children.
  3. Review Units of pRBC Needed and Total Transfusion Volume (mL).
  4. Check Expected Post-Transfusion Hemoglobin — each unit should raise Hgb by ~1 g/dL in adults.
  5. Reassess Hgb after transfusion; avoid liberal transfusion strategy in stable patients.

How the result changes with Current Hemoglobin (g/dL)

Current Hemoglobin (g/dL)Units of pRBC Needed
27
73
130
180

What each input means

Patient Weight (kg)
Patient weight in kilograms.
Current Hemoglobin (g/dL)
Current measured hemoglobin level.
Target Hemoglobin (g/dL)
Desired post-transfusion hemoglobin level.
Blood Volume Factor (mL/kg)
Adult male ~70, adult female ~65, child ~80, neonate ~85 mL/kg.

What each result means

Units of pRBC Needed
Whole units of packed red blood cells to order (rounded up).
Exact Units Calculated
Precise fractional units needed.
Estimated Blood Volume (mL)
Weight × blood volume factor.
Hemoglobin Deficit (g/dL)
Difference between target and current hemoglobin.
Expected Post-Transfusion Hgb (g/dL)
Projected hemoglobin after transfusing the rounded number of units.
Total Transfusion Volume (mL)
Approximate volume at ~300 mL per unit of pRBC.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Patient Weight (kg) = 70, Current Hemoglobin (g/dL) = 7, Target Hemoglobin (g/dL) = 10, Blood Volume Factor (mL/kg) = 70 = 4 input(s) provided
  2. Calculate Units of pRBC Needed
    Units of pRBC Needed
    3 = 3
  3. Calculate Exact Units Calculated
    2.6 = 2.6
  4. Calculate Estimated Blood Volume
    Estimated Blood Volume = weight * bloodVolumeFactor
    4900 = 4900

Engine last updated .

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