I did a BTLP-TACT
exercise last night…
79723 – a fifty six year old woman in theatre requiring six units of
blood tomorrow for aortic aneurysm repair.
She
grouped as O Rh(D) Positive with antibody screen positive in cells 1 and 3. I
requested antibody panels.
The IAT
panel was positive in cells 1, 3, 6, 9 and 10 and negative in all other cells,
and the enzyme panel was negative in all cells. In reality this corresponds with
anti-Fy(a) but not excluding anti-Cw. In this scenario the lack of reaction by
enzyme excludes anti Cw.
I selected
six units of O Pos Fy(a) neg K neg – five non irradiated, one irradiated
01278 - a twenty nine year old
woman in out patients with ITP requiring group & save
She
grouped as A Rh(D) Positive with a positive antibody screen in cell 2. I
requested antibody panels.
The IAT
panel was positive in cells 3 and 5 and negative in all others as was the
enzyme panel, corresponding with anti-E
I got the green
light… That was hard work…
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