A. Johnny Atkinson, a 19-year-old dengue patient at Cagayan United Doctors’ Medical Center, complains that he had difficulty breathing after being transfused with one platelet concentrate unit. He also requested his mother to buy him some pain reliever for he is experiencing pain in his arm and back. His doctor immediately asks Marisol Panganiban, the medical technologist on duty, to collect blood samples from Johnny and perform necessary laboratory methods. Please answer all subparts, aligned with our honor code: a. What is the transfusion effect seen in the situation? Explain your answer by correlating with the laboratory result given. b. What are the alternatives to be made to prevent such cases? c. What is the major contributing factor seen in the transfusion reaction? One would be mistaken in diagnosing the patient because the signs and symptoms have similarities to what transfusion reaction?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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A. Johnny Atkinson, a 19-year-old dengue patient at Cagayan United Doctors’ Medical Center, complains that he had difficulty breathing after being transfused with one platelet concentrate unit. He also requested his mother to buy him some pain reliever for he is experiencing pain in his arm and back. His doctor immediately asks Marisol Panganiban, the medical technologist on duty, to collect blood samples from Johnny and perform necessary laboratory methods.

Please answer all subparts, aligned with our honor code:

a. What is the transfusion effect seen in the situation? Explain your answer by correlating with the laboratory result given.

b. What are the alternatives to be made to prevent such cases?

c. What is the major contributing factor seen in the transfusion reaction? One would be mistaken in diagnosing the patient because the signs and symptoms have similarities to what transfusion reaction?

CHEMISTRY
Lactate
20mg/dL
p02
75mmHg
Creatinine
1.5mg/dL
Total bilirubin
2mg/dL
Serum glucose
150mg/dL
C3
3g/L
ALP
90UIL
AST
25U/L
ALT
30U/L
BACTERIOLOGY
Gram stain
Blue
Catalase
Modified oxidase
Vogues-Proskauer
Physical appearance of colonies: Creamy yellow
Antimicrobial Susceptibility test
Bacitracin
R
Lysostaphin
НЕМАТOLOGY
RBC
5×1012L
WBC
12x1 0°L
Platelet
100×10°L
Hemoglobin
11g/dL
Hematocrit
35%
APTT
45seconds
Transcribed Image Text:CHEMISTRY Lactate 20mg/dL p02 75mmHg Creatinine 1.5mg/dL Total bilirubin 2mg/dL Serum glucose 150mg/dL C3 3g/L ALP 90UIL AST 25U/L ALT 30U/L BACTERIOLOGY Gram stain Blue Catalase Modified oxidase Vogues-Proskauer Physical appearance of colonies: Creamy yellow Antimicrobial Susceptibility test Bacitracin R Lysostaphin НЕМАТOLOGY RBC 5×1012L WBC 12x1 0°L Platelet 100×10°L Hemoglobin 11g/dL Hematocrit 35% APTT 45seconds
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