A 45-year-old man is diagnosed with non-Hodgkin’s lymphoma. He types as B, Rh-positive. His brother is found to be HLA matched but is A, Rh-positive. The brother donates HPC-A, which is transplanted in the patient on January 25, 2010. The patient requires long-term transfusion support and receives 47 RBCs, 56 platelets apheresis, 16 FFP, and 6 cryoprecipitate. 1. Which blood group(s) should be selected for the RBC transfusions? 2. For FFP and platelets, which blood type(s) should be selected? The patient’s ABO testing for specific days post-transplant is shown below. Day Post-transplantation Anti-A Anti-B A Cells B Cells Day 117 0 1+ (mf) 1+ 0 Day 147 0 wk (mf) 2+ 0 Day 156 0 0 1+ 0 Day 200 wk (mf) 0 0 0 mf = mixed field 3. What is the interpretation of his ABO group on day 147? 4. What is the blood group interpretation on day 200? On day 156?
A 45-year-old man is diagnosed with non-Hodgkin’s lymphoma. He types as B, Rh-positive. His brother is found to be HLA matched but is A, Rh-positive. The brother donates HPC-A, which is transplanted in the patient on January 25, 2010. The patient requires long-term transfusion support and receives 47 RBCs, 56 platelets apheresis, 16 FFP, and 6 cryoprecipitate. 1. Which blood group(s) should be selected for the RBC transfusions? 2. For FFP and platelets, which blood type(s) should be selected? The patient’s ABO testing for specific days post-transplant is shown below. Day Post-transplantation Anti-A Anti-B A Cells B Cells Day 117 0 1+ (mf) 1+ 0 Day 147 0 wk (mf) 2+ 0 Day 156 0 0 1+ 0 Day 200 wk (mf) 0 0 0 mf = mixed field 3. What is the interpretation of his ABO group on day 147? 4. What is the blood group interpretation on day 200? On day 156?
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 45-year-old man is diagnosed with non-Hodgkin’s lymphoma. He types as B, Rh-positive. His
brother is found to be HLA matched but is A, Rh-positive. The brother donates HPC-A, which is
transplanted in the patient on January 25, 2010. The patient requires long-term transfusion
support and receives 47 RBCs, 56 platelets apheresis, 16 FFP, and 6 cryoprecipitate.
1. Which blood group(s) should be selected for the RBC transfusions?
2. For FFP and platelets, which blood type(s) should be selected?
The patient’s ABO testing for specific days post-transplant is shown below.
Day Post-transplantation Anti-A Anti-B A Cells B Cells
Day 117 0 1+ (mf) 1+ 0
Day 147 0 wk (mf) 2+ 0
Day 156 0 0 1+ 0
Day 200 wk (mf) 0 0 0
mf = mixed field
3. What is the interpretation of his ABO group on day 147?
4. What is the blood group interpretation on day 200? On day 156?
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