Hassan Bedeiry
Dr. Brenda Schoffstall
CLB 479-M1
20 October 2015
This case study talks about a male trauma patient aged 36 years who was transported to a health care facility for emergency surgery. A sample was taken to the blood bank for pre-transfusion testing; including type and antibody screen and crossmatch for six units of PRBCs. After the units were issued to the OR, the patient received five compatible units of RBCs. After the infusion of about 100mL of the sixth unit, the transfusion stopped because the patient became hypotensive. The surgery was then completed without any further transfusions. The patient was then transferred to the ICU for recovery and then it was observed that the patient exhibits characteristics that indicate acute …show more content…
The exercise will curb the mistakes that could predispose the patient to fatal physiological states. Furthermore, a spin cross-match testing should be done using automated systems that enable detection of incompatibility.
Retyping donor and the red blood cells of the recipient may show the problem of the transfusion. Any discrepancy will give a suggestion if the mismatch or mix up of samples in the blood that is used in a transfusion. Acute hemolytic reactions may occur during transfusion process. Therefore, all patient receiving blood transfusion should always be monitored for the first few minutes (30 minutes) to allow early identification of incompatibilities.
Future patient compatibility tests should be done with the consistency of clerical records kept at maximum scrutiny. The pre and post-transfusion grouping of ABO blood samples are significant. DAT alone cannot be used in making a clinical judgment due to the existence of the positive results in about 8% of hospitalized patients. Therefore, the outcomes of DAT should have a clinical correlation with a particular condition like hemolysis due to
Dr. Brenda Schoffstall
CLB 479-M1
20 October 2015
This case study talks about a male trauma patient aged 36 years who was transported to a health care facility for emergency surgery. A sample was taken to the blood bank for pre-transfusion testing; including type and antibody screen and crossmatch for six units of PRBCs. After the units were issued to the OR, the patient received five compatible units of RBCs. After the infusion of about 100mL of the sixth unit, the transfusion stopped because the patient became hypotensive. The surgery was then completed without any further transfusions. The patient was then transferred to the ICU for recovery and then it was observed that the patient exhibits characteristics that indicate acute …show more content…
The exercise will curb the mistakes that could predispose the patient to fatal physiological states. Furthermore, a spin cross-match testing should be done using automated systems that enable detection of incompatibility.
Retyping donor and the red blood cells of the recipient may show the problem of the transfusion. Any discrepancy will give a suggestion if the mismatch or mix up of samples in the blood that is used in a transfusion. Acute hemolytic reactions may occur during transfusion process. Therefore, all patient receiving blood transfusion should always be monitored for the first few minutes (30 minutes) to allow early identification of incompatibilities.
Future patient compatibility tests should be done with the consistency of clerical records kept at maximum scrutiny. The pre and post-transfusion grouping of ABO blood samples are significant. DAT alone cannot be used in making a clinical judgment due to the existence of the positive results in about 8% of hospitalized patients. Therefore, the outcomes of DAT should have a clinical correlation with a particular condition like hemolysis due to