You Really “Oughta” Get This
A 20-year-old woman with a history of systemic lupus erythematosus and idiopathic (immune) thrombocytopenic purpura (ITP), who received intravenous Rh immune globulin (IV RhIg) 1 year ago for the treatment of ITP and has no prior history of red blood cell (RBC) transfusion or pregnancy, is found to have a hematocrit (Hct) level of 15%. The patient was referred to the emergency department by her primary care physician for stat RBC transfusion of two units. A type and screen sample along with an order for the RBCs (ethylenediaminetetraacetic acid [EDTA] anticoagulant) is submitted to the blood bank.
KeywordsAutoadsorption Autoimmune hemolytic anemia Elution Idiopathic/immune thrombocytopenic purpura Immunosuppressive agents Rh immune globulin
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