# Plasma starting dose

Plasma starting dose

Status: LIVE
Price: $0.005 USDC
`GET /api/calc/plasma_dosage`
HTML: https://magentlab.com/docs/plasma-dosage
Markdown: https://magentlab.com/docs/plasma-dosage.md

Not a medical device. Not a diagnosis, dose, or listing recommendation.

## What it computes

Compute the BSH Green 2018 starting plasma volume from body weight: 15 mL/kg in the absence of major bleeding. Adult starting dose only.

## When to use

When an agent needs the published adult starting plasma volume and must not invent a major-haemorrhage RBC:plasma ratio, a cryoprecipitate pool, a paediatric variant, or a product or ABO-group choice.

## When not to use

- Not a medical device. Not a transfusion order.
- Not a major-haemorrhage protocol. Does not implement RBC:plasma ratios, cryoprecipitate pools, or paediatric variants. Adult starting 15 mL/kg only.
- magent does not choose a product or ABO group.

## Formula

```
volume_ml = 15 * weight_kg
```

## Citation

[Guidelines on the spectrum of fresh frozen plasma and cryoprecipitate products: their handling and use in various patient groups in the absence of major bleeding](https://doi.org/10.1111/bjh.15167)
Green L, Bolton-Maggs P, Beattie C, Cardigan R, Kallis Y, Stanworth SJ, Thachil J, Zahra S; British Society for Haematology
Br J Haematol. 2018;181(1):54-67
DOI: [10.1111/bjh.15167](https://doi.org/10.1111/bjh.15167)

## Worked example

### 70 kg adult starting plasma volume

Given: `weight_kg=70`

1. volume_ml = 15 * 70 = 1050.0


### 10 kg starting plasma volume

Given: `weight_kg=10`

1. volume_ml = 15 * 10 = 150.0


## Also searched as

- plasma starting dose
- plasma 15 ml per kg
- BSH plasma volume
- Green 2018 plasma
- adult plasma starting volume
- plasma dosage
- starting plasma volume

## Parameters

- `weight_kg` (number, required): Weight in kilograms (1-500). Required.

## Bulk (POST)

POST the same path with a JSON items array. The first item is the GET unit; each additional item is $0.002. Invalid items return HTTP 400 before settlement.

Method: `POST /api/calc/plasma_dosage`
Max items: 25
Price: unit_amount + extra_item_amount * (n - 1) (unit 5000 atomic, extra 2000 atomic)
Status: PREVIEW

- 1 to 25 items. Each item uses the same keys as the GET query parameters.
- POST of 1 item costs the same as GET. Lists longer than 25: chunk into multiple POSTs. Extra items still execute; do not pad dummy rows.
- The first invalid item fails the whole request (index in the 400 JSON). You are not charged.
- HTTP 200 is {count, path, items}. Each items[i] is the GET 200 body for that row.
- Catalog misses (empty matches, found=false) stay paid 200s inside that slot.
- x402 resource URL is this path plus n and body_sha256. Browsers that prefer text/html get the same paywall as GET; Pay retries POST with the same items.

Example request:

```json
{
  "items": [
    {
      "weight_kg": "70"
    },
    {
      "weight_kg": "70"
    }
  ]
}
```

Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/plasma-dosage

Example 200:

```json
{
  "count": 2,
  "path": "/api/calc/plasma_dosage",
  "items": [
    {
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "citation": {
        "authors": "Green L, Bolton-Maggs P, Beattie C, Cardigan R, Kallis Y, Stanworth SJ, Thachil J, Zahra S; British Society for Haematology",
        "doi": "10.1111/bjh.15167",
        "id": "green-2018",
        "pmid": "29524364",
        "source": "Br J Haematol. 2018;181(1):54-67",
        "title": "Guidelines on the spectrum of fresh frozen plasma and cryoprecipitate products: their handling and use in various patient groups in the absence of major bleeding"
      },
      "formula": "plasma_dosage",
      "formula_expression": "volume_ml = 15 * weight_kg",
      "volume_ml": 1050.0,
      "weight_kg": 70.0,
      "ml_per_kg": 15
    },
    {
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "citation": {
        "authors": "Green L, Bolton-Maggs P, Beattie C, Cardigan R, Kallis Y, Stanworth SJ, Thachil J, Zahra S; British Society for Haematology",
        "doi": "10.1111/bjh.15167",
        "id": "green-2018",
        "pmid": "29524364",
        "source": "Br J Haematol. 2018;181(1):54-67",
        "title": "Guidelines on the spectrum of fresh frozen plasma and cryoprecipitate products: their handling and use in various patient groups in the absence of major bleeding"
      },
      "formula": "plasma_dosage",
      "formula_expression": "volume_ml = 15 * weight_kg",
      "volume_ml": 1050.0,
      "weight_kg": 70.0,
      "ml_per_kg": 15
    }
  ]
}
```

## Response fields

- `formula` (string): plasma_dosage
- `formula_expression` (string): Exact expression used
- `weight_kg` (number): Input weight in kg
- `ml_per_kg` (number): BSH Green 2018 starting plasma millilitres per kilogram (15)
- `volume_ml` (number): Starting plasma volume in mL, 1 decimal
- `citation` (object): Green et al. BSH 2018 citation
- `disclaimer` (string): Not-a-device notice

## Example JSON

Frozen fixture. Not a live lookup.

```json
{
  "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
  "citation": {
    "authors": "Green L, Bolton-Maggs P, Beattie C, Cardigan R, Kallis Y, Stanworth SJ, Thachil J, Zahra S; British Society for Haematology",
    "doi": "10.1111/bjh.15167",
    "id": "green-2018",
    "pmid": "29524364",
    "source": "Br J Haematol. 2018;181(1):54-67",
    "title": "Guidelines on the spectrum of fresh frozen plasma and cryoprecipitate products: their handling and use in various patient groups in the absence of major bleeding"
  },
  "formula": "plasma_dosage",
  "formula_expression": "volume_ml = 15 * weight_kg",
  "volume_ml": 1050.0,
  "weight_kg": 70.0,
  "ml_per_kg": 15
}
```

## Errors

- HTTP 400 `invalid_plasma`: Plasma volume inputs must match Green 2018 BSH weight from that guideline. Returned before settlement; you are not charged.
- HTTP 400 `invalid_items`: POST body must be a JSON object with only an items array Returned before settlement; you are not charged.
- HTTP 400 `invalid_item_count`: items must be an array of 1 to 25 objects Returned before settlement; you are not charged.
- HTTP 400 `invalid_item`: each items entry must be a JSON object Returned before settlement; you are not charged.

Shared HTTP 402 and 503: https://magentlab.com/docs/payments

## Related tools

- [Allowable blood loss](https://magentlab.com/docs/allowable-blood-loss) — Compute Gross 1983 dilution-corrected allowable blood loss from a caller-supplied estimated blood volume and initial versus target hematocrit.
- [Kaplan plasma volume](https://magentlab.com/docs/tpe) — Compute Kaplan 1990 estimated plasma volume for therapeutic plasma exchange from weight and hematocrit as a percent, returning one plasma volume in liters and milliliters.
- [Ganzoni iron deficit](https://magentlab.com/docs/ganzoni) — Compute the Ganzoni 1970 iron deficit from weight, measured hemoglobin, a caller-supplied target hemoglobin, and depot iron stores.

## Payment

Unpaid requests return HTTP 402 even if query parameters or POST items are missing or invalid, so CDP and agents can index the path. After a PAYMENT-SIGNATURE, invalid params return HTTP 400 JSON before settlement. magent does not charge. Fix the params, then request a new 402 quote for that complete URL. Catalog misses (empty matches, found=false) are valid paid 200s.

- GET the tool with Accept: application/json (do not send Accept: text/html unless you want the human paywall).
- HTTP 402 means you have not paid. Decode the base64 PAYMENT-REQUIRED header. HTTP 503 is not a new quote.
- Sign accepts[0] (exact, EIP-3009) with validBefore = now + maxTimeoutSeconds (600 seconds), or accepts[1] (batch-settlement deposit/voucher) on product GET. Ping and POST {items} stay exact. Magent retries transient facilitator 429/5xx before answering.
- Retry the same URL with PAYMENT-SIGNATURE (base64 JSON of accepted and payload). Magent attaches canonical extensions.bazaar on CDP verify/settle; echoing 402 bazaar is optional.
- Success is HTTP 200 JSON plus PAYMENT-RESPONSE. exact settles before the tool. batch-settlement verifies (and deposit-settles) before the tool and commits the charge after HTTP 2xx. HTTP 503: retry the same PAYMENT-SIGNATURE. Mint a new exact nonce only after a new HTTP 402.

- offered `exact` on eip155:8453: Fixed-price USDC on Base. The buyer authorizes the advertised amount (EIP-3009). magent settles before the tool runs (paymentFlow upfront). extra.assetTransferMethod=eip3009 extra.paymentFlow=upfront.
- offered `batch-settlement` on eip155:8453: Payment-channel vouchers claimed later in batches. Exact stays accepts[0]. Same-path POST {items} is still exact. extra.assetTransferMethod=eip3009 extra.paymentFlow=authorization.

- not offered `upto`: Not offered. Usage-based: buyer authorizes a ceiling, seller settles the actual amount after work. Reserved for a future metered tool. Not for current calculators or code search.

Same-path POST {items} is still scheme exact: one EIP-3009 authorization for GET unit plus $0.002 per extra item. That is not x402 batch-settlement (payment channels / vouchers).

Shared HTTP 402 and 503 table: https://magentlab.com/docs/payments

Stdio MCP (one process per host): https://magentlab.com/docs/mcp

## Guarantees

- HTTP 402 is unpaid, including a missing query. After PAYMENT-SIGNATURE, invalid parameters return HTTP 400 before settlement. You are not charged. HTTP 402 never includes the tool JSON.
- exact: settlement finishes before the tool (paymentFlow upfront). batch-settlement: verify/deposit before the tool; chargedCumulativeAmount commits after HTTP 2xx. Uncertain or failed settlement fails closed (HTTP 503). Retry the same PAYMENT-SIGNATURE.
- HTTP 402 is unpaid only. Do not sign a second authorization because of a 503.
- Execution is timeout-bounded and concurrency-capped.
- Calculator inputs are stored encrypted for allowlisted operators (Magent Console). They are not in public logs, SSH lookups, catalog, or rollups. Request logs store path without query.
