A 12-weeks pregnant woman complains of inability to focus, fatigue, and shortness of breath. On a physical examination, she looks pale and weak. Laboratory results are as follows: Reticulocyte count: 1%, Hematocrit: 27%; Hemoglobin: 6.5 g/dL; MCV: 105 fL, MCHC: 32%. Does this patient need a transfusion? Justify your answer. If the physician decides to give red blood cells to the patient, are there any special considerations given to the blood product? Justify your answer. If the patient's transfusion reactions history suggests anaphylactic reactions, which blood component should be given? Justify your answer.

Basic Clinical Laboratory Techniques 6E
6th Edition
ISBN:9781133893943
Author:ESTRIDGE
Publisher:ESTRIDGE
Chapter1: The Clinical Laboratory
Section1.12: Routine Venipuncture
Problem 17RQ
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A 12-weeks pregnant woman complains of inability to focus, fatigue, and shortness of breath. On a physical examination, she looks pale and weak. Laboratory results are as follows: Reticulocyte count: 1%, Hematocrit: 27%; Hemoglobin: 6.5 g/dL; MCV: 105 fL, MCHC: 32%.

  1. Does this patient need a transfusion? Justify your answer.
  2. If the physician decides to give red blood cells to the patient, are there any special considerations given to the blood product? Justify your answer.
  3. If the patient's transfusion reactions history suggests anaphylactic reactions, which blood component should be given? Justify your answer. 
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