Time for a BTLP-TACT exercise. I was presented with two cases:
12309 – a twenty-five
year-old woman in theatre needing six units of blood for a stab wound.
She grouped as A Rh(D) Positive with a
negative antibody screen.
I issued six units of A Rh(D) Positive
K-Negative blood
45555 – a ninety-eight
year-old chap having a liver transplant needing four units of FFP and two units
of cryo.
His blood group was completely
indeterminate with cell group AB and serum group O, and the control failed as
well.
The antibody screen was positive in
cells 2 and 3 so I performed antibody panels. The enzyme and IAT panels were
positive in cells 1, 3, 4, 6 and 7 corresponding with anti-Jk(a) but not
excluding anti-E.
https://pmc.ncbi.nlm.nih.gov/articles/PMC2958698/ implies both FFP and cryo are indicated in liver transplants
I selected two units of AB FFP (because
that was all there was) and two units of AB cryo.
I got it wrong… Apparently in case 45555
there wasn’t any anti-E. I had another look. There wasn’t. So why did I think
there had been? Oh well… if nothing else I wouldn’t have done any harm had I
given E-negative products…
No comments:
Post a Comment