Time for
a BTLP-TACT exercise. I was presented with two cases:
54995 – a
twenty-one year-old chap needing four units of FFP for the next morning
The ABO
group was indeterminate being B in the cells and AB in the serum, but was Rh(D)
Positive, and had a positive antibody screen in cells 1 & 2. I selected
antibody panels. The IAT and enzyme panels were positive in cells 1, 2, 3 and 4
corresponding to anti-C and anti-D but not excluding anti-Cw… even though the
patient was Rh(D) Positive.
I
selected four units of B FFP. The guidelines said to give it
https://www.nature.com/articles/s41598-024-54379-0,
and methylene blue inactivated is no longer needed for someone of that age.
53685 –
an eighty-six year-old woman needing four units of FFP and two units of cryo
prior to a liver transplant.
They grouped
as A Rh(D) Positive with an antibody screen positive in cell 2. I selected
antibody panels. The IAT and enzyme panels were positive in cells 2 & 6 corresponding with anti-K.
I
selected four units of A FFP and two units of A cryo. The guidelines that I
could find on the spur of the moment seemed rather vague so I thought I’d
rather be wrong for doing something than be wrong for not doing something.
I got the
thumbs down. Apparently I selected all the plasma products for the second
patient.
No comments:
Post a Comment