I did a BTLP-TACT exercise this evening.
I was presented with two cases
21378 – a ninety-year old male undergoing
vascular surgery requiring group & save
26846 – a twenty-year old male with sickle cell
disease requiring eight units of blood within the hour for exchange transfusion
21378 was A Negative with positive antibody screen.
I requested IAT and enzyme panels. The IAT and enzyme panels were positive in
cells 1 2 and 3 - it looked like anti-D but Cw could not be excluded
26846 was AB with what I assume was meant to be
a weak D. I reported it as AB indeterminate and decided to give Rh Negative
blood.
The antibody screen was negative.
·
There
was no O Neg or A Neg HbS Neg irradiated blood available.
·
There
was one A Neg HbS Neg available.
·
There
was two O Neg HbS Neg available.
·
There
was no O Neg Emergency HbS Neg available.
So… whatever I did here would be wrong.
I gave eight O Neg in view of the urgency. I
don’t think the software registered this. And I resigned myself to getting a
red light.
I got a red light. I’d like to know what I
should have given…
No comments:
Post a Comment