Your Name: Ketaki Bhate

Theme: Transfusion 2

OPTION LIST

A	250iu of anti-D	I	FNHTR
B	TRALI	J	Allergic reaction
C	Iron overload	K	Anaphylaxis
D	Air Embolism	L
E	IV immunoglobulin	M
F	Kleihauer test	N
G	FBC and Crossmatch	O
H	500iu of anti-D	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 rhesus negative primigravida delivers a stillbirth fetus at 23 weeks found to be rhesus positive. What is the treatment of choice?

2. A newborn baby is suspected to have HDN, what can be done to determine the dose of anti-D required?

3. A 36 year old lady is undergoing a blood transfusion for losses incurred during a cardiac valve replacement. The blood she received was fully compatible and had been checked before administration. Within one hour, the lady was noted to have a temperature of 37.4⁰C. She was otherwise symptomless.

4. 8 days post-transfusion, a 56 year old gentleman was noted to have a very low platelet count on a routine blood test. On further questioning it was revealed that that patient found himself to be bruising easily. What is the treatment of choice?

5. A 22 year old male was involved in an RTA. He had been knocked off his bicycle and had suffered internal bleeding. He was taken to a hospital which was very busy. He urgently needed a transfusion and due to staff shortages, this was given by an inexperienced nurse who wasn’t sure exactly how to set up the infusion line. The blood was seen to be flowing to the patient. The patient almost immediately developed severe shortness of breath and then collapsed.

ANSWERS

1. H

2. F

3. I

4. E

5. D