I’ve had another email from the nice
people at BTLP-TACT telling me that I’m not doing enough exercises. So here we
go…
I was presented with one case – a fifty-seven
year-old woman in the haematology out-patients clinic needing two units of
blood.
She grouped as AB Rh(D) Positive but
with a weak(ish) reaction in the D. I’d call that positive because she’s
over fifty and it is positive, but BTLP-TACT don’t like that. So UI it is…
The antibody screen was negative.
So… what do I issue?
Personally I’d have given AB Rh(D)
Positive because she *is* AB Rh(D) Positive.
But having said the Rh(D) group is
uninterpretable (even though it is) I should give Rh(D) Negative blood.
My question is that having said the
Rh(D) group is uninterpretable, should I give O Rh(D) Negative (for no reason
that I could actually fathom) rather than AB Rh(D) Negative?
There’s one way to find out… I went with
two units of AB Rh(D) Negative
I got the green light.
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