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.

Intro To Health Care
4th Edition
ISBN:9781337338295
Author:Mitchell
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Chapter19: Documentation And Medical Records
Section: Chapter Questions
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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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