Transfusion Medicine Case: A 58-year-old woman with a history of colon cancer presents with intermittent epigastric pain.Guidelines for Transfusion Pearls of Wisdom Q&A Case
Transfusion medicine (or transfusiology) is the branch of medicine that encompasses all aspects of the transfusion of blood and blood components including aspects related to hemovigilance. It includes issues of blood donation, immunohematology and other laboratory testing for transfusion-transmitted diseases, management and monitoring of clinical transfusion practices, patient blood management, therapeutic apheresis, stem cell collections, cellular therapy, and coagulation. Laboratory management and understanding of state and federal regulations related to blood products are also a large part of the field.
Let's glean a pearl of wisdom for this transfusion medicine case...
A 58-year-old woman with a history of colon cancer successfully treated with neoadjuvant chemotherapy and surgery five years ago presents with intermittent epigastric pain.
She describes the discomfort as an ‘ache’ in the epigastrium accompanied by pyrosis, made worse by large meals and by lying down in bed. She has had no fever, chills, or weight loss.
She smokes a half pack of cigarettes per day, and she drinks seven to ten alcoholic drinks per week.
The patient has tried over the counter antacids with some symptom improvement.
She has never previously had a blood transfusion reaction, and she has only received a blood transfusion once, after her colon resection.
On examination, she has normal vital signs, some scattered pulmonary wheezes, and mild tenderness on epigastric palpation. She has some pallor on conjunctival and skin exams.
Blood tests show that her hemoglobin is 8 g/dL (normal female range12-16 g/dL) and the Mean Cell Volume (MCV) is 60 µmm3 (normal range 80-100 µmm3)
The patient is started on a proton pump inhibitor and referred for endoscopy.
Which of the following is true regarding the use of blood products in this patient?
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