It was
time for another BTLP-TACT exercise. I logged on and was presented with two
cases.
68902 – a twenty-five
year old woman in A&E requiring two units of blood tomorrow
04701 – a forty-year
old woman in the haematology clinic also requiring two units of blood tomorrow (irradiated
blood)
Case 68902
This
grouped as O Rh(D) Negative with a positive antibody screen. The panel showed
anti-C and anti-D and could not rule out anti-Cw
Two units
of O Neg D Neg C Neg were selected
Case 04701
This grouped
as A but with what looked like a weak D reaction. I called it A Rh uninterpretable.
The weak D needs further investigation.
This one
also had a positive antibody screen which looked to be anti-D but anti-Cw cold
not be ruled out.
I gave O
Neg irradiated because of the iffy Rh group…
I got the green
light. I was pleased about that…
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