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Name
Maria R. Santos
Blood Choices
Whole blood transfusions REFUSE DONOR BLOOD — accepts autologous only
Packed red blood cells REFUSE DONOR BLOOD — accepts autologous only
Plasma REFUSE DONOR BLOOD — accepts autologous only
Platelets REFUSE DONOR BLOOD — accepts autologous only
Albumin ACCEPT
Immunoglobulins ACCEPT
Clotting factors ACCEPT
Cell salvage ACCEPT
Hemodilution ACCEPT
Heart-lung bypass ACCEPT
Special Instructions
I direct that I receive the best possible medical care that does not involve the use of allogeneic blood transfusions. I accept my own blood (autologous) for primary components but refuse donor blood. I accept all fractions (albumin, immunoglobulins, clotting factors) and all autologous procedures. I accept non-blood alternatives including volume expanders (saline, Ringer's lactate, dextran, hetastarch), recombinant erythropoietin (EPO), and surgical techniques that minimize blood loss.
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