Time for
another BTLP-TACT exercise. I was presented with one case – a thirty-one-year-old
chap in the haematology clinic with sickle cell disease needing eight units of
blood for an exchange transfusion tomorrow.
He had an
indeterminate ABO group presumably from previous exchange transfusions, but his
Rh(D) group was negative.
The
antibody screen was positive in cells 2 and 3 so I requested antibody panels.
The IAT
and enzyme panels were positive in cells 1, 3, 4, 6 and 7 corresponding with
anti-Jk(a).
I didn’t
issue any blood as there was only one suitable unit in the fridge. I got the thumbs
down, but (to be blunt) what am I supposed to do when the software gives
me this requirement but doesn’t give me eight units of O Rh(D) Negative Jk(a)
Negative HbS Negative units to fulfill it?
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