WCHBB

Thanks, you all have been of great help and support to me. Cyndie

No we did not send it out the reference lab said that if her DAT was negative I did not need to send it. She is doing great now BUT she still needs to come back and get more units. She said(the patient) when it happend before in Ohio that the big teaching hospital could not figure it out so I guess we may never know. The culture on the unit never grew out and her plasma/serum is now clear. Thanks to everyone for your help. Cyndie

Thanks I'm feeling better today about this but you made me laugh. Cyndie

There where no red cells in the urine. She came back yesterday and her plasma is now back to normal her DAT is still negative. I just checked and the culture on the unit is negative. I guess we may never know what caused this. Thanks to everyone for your help. Cyndie

I need help. I have a lady that comes in usually ever month to get 4 units of paced cells, amemia secondary to MDS. Monday she came in and as usual she typed A postive antibody screen gel negative, units gel negative. She came back yesterday and received 2 units no problem but while receiving the 3ed unit she went to the bathroom and called the transfusion nurse because she had blood in her urine. The unit was stoped vitals taken and she had a 2 degree increase in her temp. She had no complaints,felt fine. In 2006 she said she had an anphylactic transfusion reaction (she lived in Clevland, Ohio then and nothing was found wrong to cause this reaction) and this was nothng like this. Her physician was notified and later she was released (I was off yesterday). I repeated everthing that was done yesterday pre and post samples, DAT etc. all are negative BUT the post sample is hemolyzed (drawn x2 to verify).This am I have spoken with the nurse and ever time she comes in she will give off an acid smell (not fruity) after getting her second unit. ?? I have never had anyone tell me this before. Her units are giving through her port. The transfusion nurse has called her this am and her urine has just a ting of blood in it but she had fever, chills and nausa last night. What do you think has cause this and what do I need to do? I want to know what her BUN and cret are along with her H&H I also feel she needs to be worked up by our ARC referance lab. Is this what you would do? Thanks for any help you can give me. Cyndie