gagpinks Posted October 31, 2015 Share Posted October 31, 2015 HiWe have a patient whose blood group was O RhD pos and had a Bone marrow transplant six month ago. The donor was A Rh D Pos and now patient is starting to express strong A antigen. Is it safe to give A red cell? Link to comment Share on other sites More sharing options...
tbostock Posted October 31, 2015 Share Posted October 31, 2015 No. You have to give cells compatible for both. So give type O red cells. And type A or AB plasma. Link to comment Share on other sites More sharing options...
David Saikin Posted November 4, 2015 Share Posted November 4, 2015 what is the pt's reverse grouping. Once it becomes a clear group A back type I would go with A rbcs with an ahgxm just to be on the safe side. However, you can't go wrong with group O. rravkin@aol.com and galvania 2 Link to comment Share on other sites More sharing options...
Likewine99 Posted November 4, 2015 Share Posted November 4, 2015 Agree with tbostock. Until you get official confirmation from a BMT physician the pt does not have total engraftment. Link to comment Share on other sites More sharing options...
MERRYPATH Posted January 2, 2016 Share Posted January 2, 2016 We go by 100 days post last transfusion...alert...they may be transfused elsewhere, take the back type to AHG, the case is sent to the BBDoc for evaluation and they will also check % engraftment. PatO at 60!!! Link to comment Share on other sites More sharing options...
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