Case 101

1. Presented by Matthew Gabrielson, MD and reviewed by Lorraine N. Blagg, MA, MLS(ASCP)SBB

Clinical Vignette

An elderly adult patient with hypertension is admitted for a myomectomy for uterine fibroids. The patient's history is also significant for a motor vehicle accident several years prior, requiring multiple blood products. During the procedure, the patient requires two units of RBCs and one unit of platelets for bleeding. The post-operative course is otherwise unremarkable, and the patient is discharged two days after the procedure. Approximately one week later, the patient presents to the Emergency Department with mucosal (gums) bleeding and diffuse bruising. Blood is drawn for labs (CBC and chemistry panel), the results of which are below.



The patient is admitted and started on IVIG at 1g/kg.

Question:
If an RBC transfusion is needed, what product modifications would you consider?

 

17 thoughts on “Case 101”

  1. يستغرق نقل الأمتعة من مكان إلى آخر وقتا طويلا ، لذا قبل متابعة النقل ، تحتاج إلى إدخال حسابك في الوقت المناسب ، ومعرفة عدد الساعات التي ستستغرقها للوصول إلى الشقة الجديدة ومعرفة ما إذا كان الطريق مناسبا.بناء على ذلك ، حدد كيفية نقل شيء زجاجي ، ويفضل أن يكون ذلك باستخدام ورق مقوى متعدد.بعد ذلك ، يمكنك وضع عدة طبقات من الإسفنج وأوراق الهلام ولفها بأسطوانة مطاطية.
    فرز جميع العناصر الهشة في مكان. يوصى بكتابة كل عنصر في صندوقه الخاص ووضعه في موقف سيارات الدفع.
    لف جميع الأثاث الخشبي بورق ملفوف على شكل شرائط لمنعها من الفتح أو الانكسار عند نقل الأثاث.
    فمن الضروري وضع جميع الأجزاء الأساسية في السيارة التي تحمل الأمتعة ، مع الأخذ بعين الاعتبار أن قطعة صغيرة من الزجاج الهش يتم وضعها في مكان ، ويتم وضع الخشب والأجهزة الكهربائية المتبقية في مكان آخر.

    شركة نقل عفش بالرياض

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