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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. Proceed to the next page for an explanation of this case study.

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