Your Name: Leanne Bellamy

Theme: Blood transfusion

OPTION LIST

A	ABO group and RhD screen	I	PTP
B	ABO group only	J	Autologous blood
C	Donor blood	K	Cell salvage
D	Group and save	L	Pre-operative deposit
E	ABO incompatible blood	M	Anti –D Abs
F	EPO	N
G	TRALI	O
H	DHTR	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 58 year old male is having bloods drawn before a triple heart bypass, he is expected to lose a lot of blood during the procedure and needs 5 units of blood on standby. In the lab donor blood is checked against the drawn sample.

2. A 45 year old female Jehovas Witness is undergoing a colectomy for severe ulcerative colitis in 10 weeks and has poor renal function. She refuses a blood transfusion and asks for an alternative.

3. A 22 year old student involved in a car accident is given 1 unit of blood during an operation to reconstruct his leg. Minutes after the transfusion starts his blood pressure drops and pulse rises.

4. A 60 year old gentleman is recovering from an oesophagectomy where he required 3 units of cross matched blood. Over the next 3 days his Hb dropped and there was haemaglobinuria.

5. A 35 year old HIV+ve man who threw himself infront of a bus has been rushed to theatre. He is bleeding into his pelvis. He is transfused with 6 units of blood but additional blood is required from an alternative source during the operation

ANSWERS

1. B

2. L

3. E

4. H

5. K