1. Each unit of packed red blood cells (PRBCs) is expected to raise circulating hemoglobin (HGB) by approximately 1 g/dL. So, the expected posttransfusion hemoglobin will be 9.0 gm/dL.
2. Various reasons for a failure of the patients hemoglobin to increase after transfusion are :-
* on-going bleeding
* the time from the transfusion to the next HB count
* the quantity of blood in each bag
* how long the bagged blood had been stored prior to use
* transfusion reactions
EXERCISE 15.2 A nonbleeding adult of average height and weight with chronic anemia is transfused with...
Exercise # 1 A 60-year-old woman with anemia is admitted to the hospital. Her hematocrit is 17% and she has been experiencing subtle gastrointestinal bleeding over many weeks. Her physician requests 4 units of red blood cells for transfusion. The patient’s RBCs phenotyped as group AB, D-positive. Her antibody screen is negative on the sample drawn in the emergency room, but her records indicate a previously detected anti-E. Only three group AB, D-positive red blood cell units are available in...
Heidi M., a 22-year-old female prospective donor who is a college-athlete, presented with the following physical examination and relevant questions from the medical history: Donor Name – Heidi M. Last Donation: None, first-time donor Hemoglobin: 13.0 g/dL Hematocrit: 39.2% Pulse: 45 beats/min Blood Pressure: 130/80 Weight: 112 pounds Temperature: 98.5°F Heidi had been taking Accutane ( isotretinoin) for acne but had taken her last dose three weeks ago. She had a baby six months ago and was transfused with one...
Heidi M., a 22-year-old female prospective donor who is a college-athlete, presented with the following physical examination and relevant questions from the medical history: Donor Name – Heidi M. Last Donation: None, first-time donor Hemoglobin: 13.0 g/dL Hematocrit: 39.2% Pulse: 45 beats/min Blood Pressure: 130/80 Weight: 112 pounds Temperature: 98.5°F Heidi had been taking Accutane ( isotretinoin) for acne but had taken her last dose three weeks ago. She had a baby six months ago and was transfused with one...
CASE STUDY A 22-year-old woman was admitted froes the emergency department for tests. She had fever, dysuria, and lower back pain. Immediate laboratory results revealed the fol lowing: CBC Urinalysis 4+ urine protein 1+ Hgb Many bacteria Moderate blood Moderate WBC Casts: few hyaline, few granular Chemistry: WBC:11.8 X 10P/L RBC, 29 x 1012/1 Hgh: 8.3 g/dL Het: 255 MCV: 88 L MCH: 29 PB BUN: 113 mg/dL Creatinine: 7.7 mg/dL MCHC: 300 L or 305 RDW: 14.79 1+ aniso...
A 22 year old male was admitted through the emergency room following a car accident. After a splenectomy his hemoglobin was 6.2 g/dL. How many units of packed cells would be needed to possibly bring his hemoglobin up to 8.2 g/dL? a. 4 units of packed cells b. 3 units of packed cells c. 2 units of packed cells d. 1 unit of packed cells 1 points QUESTION 2 A 70 year old woman with chronic lymphocytic leukemia was...
My Study on Sickle Cell Anemia Research In 500 words, answer the following questions 1.Select your study sample 2. How have you selected your sample? 3. How will you select your sample population and give the rationale behind your decision Please type the solution on the keyboard so that I can copy and paste Q. No 1. Answer : Sickle cell disease : It is defined as it is a chronic heriditory form of Anemia, in which the red blood...
Please answer these question on this case study Case study Your patient, 58-year-old K.Z., has a significant cardiac history. He has long-standing coronary artery disease (CAD) with occasional episodes of heart failure (HF). One year ago, he had an anterior wall myocardial infarction (MI). In addition, he has chronic anemia, hypertension, chronic renal insufficiency, and a recently diagnosed 4-cm suprarenal abdominal aortic aneurysm. Because of his severe CAD, he had to retire from his job as a railroad engineer about...
Please answer these question on this case study Case study Your patient, 58-year-old K.Z., has a significant cardiac history. He has long-standing coronary artery disease (CAD) with occasional episodes of heart failure (HF). One year ago, he had an anterior wall myocardial infarction (MI). In addition, he has chronic anemia, hypertension, chronic renal insufficiency, and a recently diagnosed 4-cm suprarenal abdominal aortic aneurysm. Because of his severe CAD, he had to retire from his job as a railroad engineer about...
Please answer these question on this case study Case study Your patient, 58-year-old K.Z., has a significant cardiac history. He has long-standing coronary artery disease (CAD) with occasional episodes of heart failure (HF). One year ago, he had an anterior wall myocardial infarction (MI). In addition, he has chronic anemia, hypertension, chronic renal insufficiency, and a recently diagnosed 4-cm suprarenal abdominal aortic aneurysm. Because of his severe CAD, he had to retire from his job as a railroad engineer about...
Please answer these question on this case study Case study Your patient, 58-year-old K.Z., has a significant cardiac history. He has long-standing coronary artery disease (CAD) with occasional episodes of heart failure (HF). One year ago, he had an anterior wall myocardial infarction (MI). In addition, he has chronic anemia, hypertension, chronic renal insufficiency, and a recently diagnosed 4-cm suprarenal abdominal aortic aneurysm. Because of his severe CAD, he had to retire from his job as a railroad engineer about...