Being at a bit of a loose end I thought
I mihght do a BTLP-TACT exercise. I was pesented with one case – a seventy-eight
year-old chap needing two units of cryo for factor VIII deficiency.
He grouped as O Rh(D) Positive with a
negative antibody screen.
Is the cryo actually indicated in Factor
VIII deficiency? Well, https://pmc.ncbi.nlm.nih.gov/articles/PMC4627369/
says that it is rich in the stuff and has historically been used as a treatment
for haemophilia A. But it potentially carries pathogens… The reference says that
it is a second-line treatment.
I’m going to say that it *is*
indicated and either way I will learn something.
So I issued two units and got the thumbs
down. Apparently “Selection of any plasma components was inappropriate for
this clinical condition”. One lives and learns…
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