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ACOG Practice Bulletin 181 RhD immune globulin vial arithmetic. fmh_ml = fetal_cells_percent/100 * maternal_blood_volume_ml. One 300 microgram vial covers 30 mL Rh D-positive fetal whole blood. AABB Technical Manual rounding: if frac(fmh_ml/30) >= 0.5 round up then add one vial; if < 0.5 round down then add one. Minimum 1 vial. Caller assigns Kleihauer–Betke percent and maternal volume; magent does not read slides. Not a prescription or brand order.

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