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The page below is a sample from the LabCE course ABO Typing Discrepancies. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Case Study 2
A 38 year old female patient has a history of chronic anemia which has resulted in 4 previous allogenic packed red blood cell transfusions. At present, she is experiencing lethargy, pallor, shortness of breath, and extreme malaise. Her physician orders hemoglobin testing which results in a value of 7.0 g/dL. Upon review of the testing, her physician orders pretransfusion testing and 2 units of packed red blood cells to be transfused, each over a 4 hour period of time. Her pretransfusion testing results are listed below. Review the testing and determine the next course of action.

Anti-AAnti-BA1 cells
B cells
Antibody Screen
Patient Results
mf/1+ 0
0
3+
Negative