lyla_n Posted December 3, 2010 Share Posted December 3, 2010 We had a case of coagulopathy due to liver disease and the patient was bleeding.. There ws shortage of A+ve PRBC so we had to swithch to O+ve PRBCs. Male patient5 units of O+ve compatible PRBCs transfused sucessfully.After 2 days more demand for blood. DAT on the patient 2+ in gel.. Do we go for O+ve or can we shift back to A+ve? Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted December 3, 2010 Share Posted December 3, 2010 It surely depends upon what you elute from the patient's red cells.If you elute anti-A, then go back to A.If you elute off another specificity, you can use group O antigen negative blood - but, personally, I wold go back to the patient's own ABO group as soon as possible. Link to comment Share on other sites More sharing options...
David Saikin Posted December 3, 2010 Share Posted December 3, 2010 Most of the rbcs in the US are leukoreduced/additive solution rbcs. The amount of residual plasma in these units is negligble. I would switch back to the pts original blood type. Did you do an elution study? Link to comment Share on other sites More sharing options...
khalidm3 Posted December 3, 2010 Share Posted December 3, 2010 (edited) Sorry! Edited December 3, 2010 by khalidm3 Link to comment Share on other sites More sharing options...
khalidm3 Posted December 3, 2010 Share Posted December 3, 2010 We had a case of coagulopathy due to liver disease and the patient was bleeding.. There ws shortage of A+ve PRBC so we had to swithch to O+ve PRBCs. Male patient5 units of O+ve compatible PRBCs transfused sucessfully.After 2 days more demand for blood. DAT on the patient 2+ in gel.. Do we go for O+ve or can we shift back to A+ve?Perform elute studies if u have not yet. Perform complete cross-match with A+ PRBC if u had used PRBC without additive other wise just shift to A+. What is the pre-transfusion DAT. Link to comment Share on other sites More sharing options...
John C. Staley Posted December 3, 2010 Share Posted December 3, 2010 I have to ask, O+ve, what's ve? :confuse: Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted December 3, 2010 Share Posted December 3, 2010 Short for, in this case, positive (+ve) (and -ve is short for negative). Link to comment Share on other sites More sharing options...
bb4me Posted December 4, 2010 Share Posted December 4, 2010 We had a case of coagulopathy due to liver disease and the patient was bleeding.. There ws shortage of A+ve PRBC so we had to swithch to O+ve PRBCs. Male patient5 units of O+ve compatible PRBCs transfused sucessfully.After 2 days more demand for blood. DAT on the patient 2+ in gel.. Do we go for O+ve or can we shift back to A+ve?Did the patient receive any group A PRBCs prior to having been switched to Group O? If so, and if you elute anti-A, you might want to check to see if the patient is a subgroup of A before considering switching back to A cells. Link to comment Share on other sites More sharing options...
sshel55 Posted December 14, 2010 Share Posted December 14, 2010 If the A cells are serologically compatible, I suggest switching back to A. Link to comment Share on other sites More sharing options...
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