Time
for another BTLP-TACT exercise. It presented me with one case – a sixty-one
yar-old chap having a pancreatectomy and needing four units of blood.
The
ABO group was uninterpretable but the RH(D) group was Positive. The antibody
screen was positive in cells 1 and 3 so I performed antibody panels.
The
IAT panel was positive in cells 1, 3, 6, 9 and 10 corresponding with anti-
Fy(a)
however
the enzyme panel was negative throughout.
I
tried to select four units of O Rh(D) Negative blood which was Fy(a) negative
but there was only two. So… what next. We’ve got a male who’s over fifty… I
selected two more units of Fy(a) negative blood; these being O Rh(D) Positive.
Either
the software would like it or it wouldn’t…
It
did…
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