MEDT 4600
Blood Bank Review
Case Study
Patient Name: Mindy Jones
Patient MR #: 001521098
A newly diagnosed sickle cell patient has been admitted to the hospital in crisis. Mindy Jones is a 3 -year
old female who presented to the emergency room with severe abdominal pain and pain in her lower left
leg. Lab values indicated a critically low hemoglobin (6.5 g/dL) and Hematocrit (19%). Her peripheral
blood smear showed moderate polychromasia, mild to moderate drepanocytes, mild target cells, and 8
nRBCs/100 WBCs counted. Additional abnormal findings include her chemistry panel with elevated LDH
(450 IU/L) and direct bilirubin (2.5 mg/dL). Her physical exam revealed splenomegaly and mild
respiratory distress. The parents both indicated that she had never been hospitalized or treated with
transfusions. The admitting physician ordered the following additional labs: Reticulocyte count,
Hemoglobin Electrophoresis, Type and Screen, and a Crossmatch for 1 unit.
Q1. What do the original hematology and chemistry lab values and clinical exam indicate about the
patient’s current hematology clinical picture?
Q2. Why did the physician order each of the additional labs mentioned?
Q3. The patient’s absolute reticulocyte count was elevated at 90.3 x 10^9/L. What does the information
contribute to the hematologic picture?
Q4. The hemoglobin electrophoresis revealed 90% HbSS, 7% HbF, and 3% HbA2. Does this confirm the
original diagnosis? How did you reach your conclusion?
The physician wrote an order to transfuse the patient with one unit of pRBCs and begin 15mg/kg per day
hydroxyurea. Her hemoglobin responded appropriately and she appeared to be responding positively to
therapy. On her fourth day of admission, he ordered for one more unit of pRBC to be transfused prior to
discharge. The blood bank requested another type and screen.
Q5. Why did the blood bank request another sample?
An hour after receiving the sample, the blood bank called the floor informing them that there would be
a delay due to a positive antibody screen. Refer to the pdf attachment with patient results. Complete
the ID and answer the following questions.
Q6. How did the patient become sensitized to develop an antibody?
Q7. What antibody did you identify?
Q8. Were you able to rule-out all other antibodies with two “double-dose” cells?
Q9. What cells did you use to rule-in according to the 3×3 rule?
Q10. Why are cells #1, 6, and 11 weaker than the other positive reactions on Panocell-16?
Q11. What information does the auto-control run as “PC” on the Panocell-16 provide concerning the
type of antibody that that the patient is exhibiting? Why is this important?
Q12. The blood bank was able to find a compatible unit for the patient. What special requirements
should this patient have taken into consideration when selecting the best unit for transfusion? Consider
both her diagnosis and antibody status.
Q13. The physician decided to add Mindy Jones to their hospital’s Sickle Cell Transfusion Protocol.
Which sample should the bloodbank choose to perform an extended phenotype, the one drawn on
3/9/16 or the second one drawn on 3/13/16?
Q14. What type of panel cell should be selected for a positive control for the anti-sera used to perform
the extended phenotype? Single- or double-dose? Why is this important?
Q15. What is the purpose of finding phenotype-matched blood for chronically transfused patients?
Q16. Referring to the attached phenotype, do these results confirm the identified antibody?
- WE OFFER THE BEST CUSTOM PAPER WRITING SERVICES. WE HAVE DONE THIS QUESTION BEFORE, WE CAN ALSO DO IT FOR YOU.
- Assignment status: Already Solved By Our Experts
- (USA, AUS, UK & CA PhD. Writers)
- CLICK HERE TO GET A PROFESSIONAL WRITER TO WORK ON THIS PAPER AND OTHER SIMILAR PAPERS, GET A NON PLAGIARIZED PAPER FROM OUR EXPERTS
QUALITY: 100% ORIGINAL PAPER – NO ChatGPT.NO PLAGIARISM – CUSTOM PAPER
Looking for unparalleled custom paper writing services? Our team of experienced professionals at AcademicWritersBay.com is here to provide you with top-notch assistance that caters to your unique needs.
We understand the importance of producing original, high-quality papers that reflect your personal voice and meet the rigorous standards of academia. That’s why we assure you that our work is completely plagiarism-free—we craft bespoke solutions tailored exclusively for you.
Why Choose AcademicWritersBay.com?
- Our papers are 100% original, custom-written from scratch.
- We’re here to support you around the clock, any day of the year.
- You’ll find our prices competitive and reasonable.
- We handle papers across all subjects, regardless of urgency or difficulty.
- Need a paper urgently? We can deliver within 6 hours!
- Relax with our on-time delivery commitment.
- We offer money-back and privacy guarantees to ensure your satisfaction and confidentiality.
- Benefit from unlimited amendments upon request to get the paper you envisioned.
- We pledge our dedication to meeting your expectations and achieving the grade you deserve.
Our Process: Getting started with us is as simple as can be. Here’s how to do it:
- Click on the “Place Your Order” tab at the top or the “Order Now” button at the bottom. You’ll be directed to our order form.
- Provide the specifics of your paper in the “PAPER DETAILS” section.
- Select your academic level, the deadline, and the required number of pages.
- Click on “CREATE ACCOUNT & SIGN IN” to provide your registration details, then “PROCEED TO CHECKOUT.”
- Follow the simple payment instructions and soon, our writers will be hard at work on your paper.
AcademicWritersBay.com is dedicated to expediting the writing process without compromising on quality. Our roster of writers boasts individuals with advanced degrees—Masters and PhDs—in a myriad of disciplines, ensuring that no matter the complexity or field of your assignment, we have the expertise to tackle it with finesse. Our quick turnover doesn’t mean rushed work; it means efficiency and priority handling, ensuring your deadlines are met with the excellence your academics demand.
