Time for a
BTLP-TACT exercise. I was presented with one case – a thirty-nine year-old chap
in out-patients needing two units of irradiated blood tomorrow.
He grouped as B Rh(D) Positive with
antibody panel positive in cells 2 & 3. I requested antibody panels. The IAT
and enzyme panels were negative in cells 1 & 2 and positive in all other
cells which was consistent with anti-c but didn’t exclude anti-E, anti-Kp(a) or
anti-Lu(a)
There was
only one c- E- unit, and that had no mention of its Kp(a) or Lu(a) status. I
selected it working on the principle that the guidelines say that Kp(a) and
Lu(a) are crossmatch compatible and I would be doing a wet crossmatch
Amazingly I
got the thumbs-up. I don’t think I should have done – this was another no-win
scenario. With only one unit that might be of any use I couldn’t have
got the right answer.
This thing
really is a work in progress. Such a shame no progress is being made.
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