Question: 1. When Typing A Patient Who Is Being Prepped For Surgery, The Technologist Notices That The Forward And Reverse Types Do Not Match. A Nurse And The Phlebotomist Who Had Drawn The Patient’s Blood Initially Check The Patient Again, And The Technologist Repeats The Testing. The Technologist Follows The Algorithm For Discrepancies That Has Been Outlined …
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1. When typing a patient who is being prepped for surgery, the technologist notices that the forward and reverse types do not match. A nurse and the phlebotomist who had drawn the patient’s blood initially check the patient again, and the technologist repeats the testing. The technologist follows the algorithm for discrepancies that has been outlined by the department supervisor. The next step is to wash the patient’s red blood cells and repeat the testing, which results in the same findings. The final step is to wash the cells with warm saline and repeat the testing. This time the test results match, showing that the patient is o positive. 1. What do you suspect was the cause of the discrepant results? A. Bombay phenotype B. Warm autoantibody C. Out-of-group transfusion D. Cold autoantibody 2. What happens to the cold autoantibody during the warm saline washing process? A. It is dissolved. B. It is eluted. C. It becomes stable. D. It becomes unstable. 3. What is the best way to suppress a cold antibody while working with a patient’s sample? A. Maintain the blood at body temperature throughout collection and testing. B. Maintain the blood at refrigerator temperature throughout collection and testing. C. Incubate the patient’s whole blood sample before testing. D. Maintain the blood at body temperature throughout collection and testing, and incubate whole blood samples before testing.
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