A 2-and-a-half-year-old kid who weighed 11kg and had no previous/ known medical conditions was hospitalised for various bruises for one week owing to thrombocytopenia. Immune thrombocytopenic purpura was identified as the cause.    In light of bleeding manifestations and extremely severe thrombocytopenia with platelet level of 3 109/L, patient was suggested for two units of whole blood, derived platelet transfusion and began on intravenous immunoglobulin at a dose of 1 mg/kg. Due to the lack of blood group B platelets, the patient, who is B Rhesus D positive, got O RhD positive WB-derived platelets.    During the second unit of platelet transfusion, the kid started to experience, shortness of breath, chill, and rigor. the patient became worse with a fever of 38 C,

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
icon
Related questions
Question

A 2-and-a-half-year-old kid who weighed 11kg and had no previous/ known medical conditions was hospitalised for various bruises for one week owing to thrombocytopenia. Immune thrombocytopenic purpura was identified as the cause. 

 

In light of bleeding manifestations and extremely severe thrombocytopenia with platelet level of 3 109/L, patient was suggested for two units of whole blood, derived platelet transfusion and began on intravenous immunoglobulin at a dose of 1 mg/kg. Due to the lack of blood group B platelets, the patient, who is B Rhesus D positive, got O RhD positive WB-derived platelets. 

 

During the second unit of platelet transfusion, the kid started to experience, shortness of breath, chill, and rigor. the patient became worse with a fever of 38 C, an oxygen saturation of 80% in room air, hypotension (94/56 mmHg), tachycardia (156 beats/minute), and tachypnea (26 breaths/minute). 

 

Blood film evidence of spherocytosis and tiny agglutinations helped to explain why the patient's haemoglobin fell from 10.2 g/dl to 8.2 g/dl. The kid's lactate dehydrogenase levels were 1209 U/L and had a minor case of jaundice. The erythrocytes showed that the Direct Antiglobulin Test was positive. 

Critically explain how to reach the final diagnosis/what the find diagnosis is looking at the information and details given, and what could have caused the symptoms for the patient.

Expert Solution
steps

Step by step

Solved in 5 steps

Blurred answer
Follow-up Questions
Read through expert solutions to related follow-up questions below.
Follow-up Question

can you get a bit more in-depth with how you have reached the final diagnosis and the factors mentioned above?

Solution
Bartleby Expert
SEE SOLUTION
Follow-up Question

i need an abstract style (something you would submit to an academic conference) summary/introduction/presentation of this case study?

Solution
Bartleby Expert
SEE SOLUTION
Follow-up Question

what could be the possible cause of this condition? what are the underlying principles? and why the patient would experience these exact symptoms?

 

 

Solution
Bartleby Expert
SEE SOLUTION
Follow-up Question

what are the limitations of the above-mentioned tests for this condition?

Solution
Bartleby Expert
SEE SOLUTION
Follow-up Question

what are the key pathophysiological findings of this condition?

Solution
Bartleby Expert
SEE SOLUTION
Follow-up Question

what would some effective treatments be for this condition?

Solution
Bartleby Expert
SEE SOLUTION
Follow-up Question

what are some treatments and controls for this condition as well as tests? 

Solution
Bartleby Expert
SEE SOLUTION
Knowledge Booster
Hematology
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.
Similar questions
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning