blood smear is prepared

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CASE QUESTIONS:

  1. If a peripheral blood smear is prepared from the sample collected. Describe the most plausible red blood cell morphologic findings you might have. Discuss why the morphology is as such.
  2. What does the haptoglobin level in correlation with the bilirubin (direct and indirect) level means? Discuss your answer.
  3.  Does administering an oxygen support at 10 Li per face mask to the patient helps in increasing the RBC count? Discuss your answer.

 

KINDLY ANSWER THIS CASE QUESTIONS:

Observe proper in-text citation using APA format. Do not just copy and paste from your internet source. Include the resources you used

A 15 year old male was referred to the hematology service due to blood transfusion incident. The 15 year
old male was initially admitted due to trauma from motor vehicular accident, where the patient (riding a
single motor) went on high speed head-to-head collision against a SUV. The patient sustained fracture in
the right femur at the area of the femoral head, rupture of the spleen and the subdural hematoma. On
admission, the following were laboratory finding, aside from the radiographic studies done:
Blood type: b "+"
Haemoglobin: 60 g/Li
Haematocrit: 30%
RBC count: 3 x 10^12/Li
Serum creatinine: 90 umol/Li
wwwm
The surgeon ordered a transfusion of 3 units of packed red blood cells as soon as blood is
available. The watcher went to the local Philippine Red Cross to acquire the needed blood product, and
eventually submitted to the laboratory for crossmatching. Upon receipt of the blood in the hospital's bloo
bank, crossmatching was done and the paperworks were appropriately accomplished. The nurse on duty,
on her last hour for the 12 hour shift, took the blood products for two patients from the blood bank. The
blood products were labeled as "B+" and "A+". At the surgical ward, a patient went on screening due to
pain on the operative site from appendectomy. The nurse was startled and hastened to hook the blood to
the 15-year-old male.
After an hour or so, the nurse on duty went to follow up the transfusion of the 15-year-old
male. The nurse saw that the urine output from the urinary catheter appears reddish, and the patient was
febrile at 39C. The nurse checked all medicines and blood products hooked to the patient's intravenous
access. The blood product hooked was labeled "A+". The transfusion was immediately stoped, and 100cc
of the blood product was apparently transfused. The incident was referred immediately to the attending
surgeon, in turn, referred to the hematology service for co-management.
CamScanner
Transcribed Image Text:A 15 year old male was referred to the hematology service due to blood transfusion incident. The 15 year old male was initially admitted due to trauma from motor vehicular accident, where the patient (riding a single motor) went on high speed head-to-head collision against a SUV. The patient sustained fracture in the right femur at the area of the femoral head, rupture of the spleen and the subdural hematoma. On admission, the following were laboratory finding, aside from the radiographic studies done: Blood type: b "+" Haemoglobin: 60 g/Li Haematocrit: 30% RBC count: 3 x 10^12/Li Serum creatinine: 90 umol/Li wwwm The surgeon ordered a transfusion of 3 units of packed red blood cells as soon as blood is available. The watcher went to the local Philippine Red Cross to acquire the needed blood product, and eventually submitted to the laboratory for crossmatching. Upon receipt of the blood in the hospital's bloo bank, crossmatching was done and the paperworks were appropriately accomplished. The nurse on duty, on her last hour for the 12 hour shift, took the blood products for two patients from the blood bank. The blood products were labeled as "B+" and "A+". At the surgical ward, a patient went on screening due to pain on the operative site from appendectomy. The nurse was startled and hastened to hook the blood to the 15-year-old male. After an hour or so, the nurse on duty went to follow up the transfusion of the 15-year-old male. The nurse saw that the urine output from the urinary catheter appears reddish, and the patient was febrile at 39C. The nurse checked all medicines and blood products hooked to the patient's intravenous access. The blood product hooked was labeled "A+". The transfusion was immediately stoped, and 100cc of the blood product was apparently transfused. The incident was referred immediately to the attending surgeon, in turn, referred to the hematology service for co-management. CamScanner
Upon reviewing the incident report for the error in the transfusion, the haematologist ordered the
following laboratory tests:
Serum creatinine: 100 umol/Li
wwwm
Direct bilirubin: 5 umol/Li
ww.
Indirect bilirubin: 10 umol/Li
Haptaglobin: 5 mg/dL
Serum creatinine: 500 umol/Li
Urine color: clear red but oliguric
www
Urine microscopy: amorphous urates, many mucuous threads
www ww
ww w
Urine dipstick: (++) blood
Haemoglobin: 40 g/Li
Haematocrit: 30%
wwwA m
RBC count: 3 x 10^12/Li
CamScanner
Transcribed Image Text:Upon reviewing the incident report for the error in the transfusion, the haematologist ordered the following laboratory tests: Serum creatinine: 100 umol/Li wwwm Direct bilirubin: 5 umol/Li ww. Indirect bilirubin: 10 umol/Li Haptaglobin: 5 mg/dL Serum creatinine: 500 umol/Li Urine color: clear red but oliguric www Urine microscopy: amorphous urates, many mucuous threads www ww ww w Urine dipstick: (++) blood Haemoglobin: 40 g/Li Haematocrit: 30% wwwA m RBC count: 3 x 10^12/Li CamScanner
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