Name ______Date ______

Activity 9: Crossmatch

INTERPRET THE REACTIONS IN THE SPACE PROVDIDED. After interpretation each case will be discussed.

1. The patient is a 32 year old female who has severe menorrhagia. Her hemoglobin is 6.3 g/dL and she is having a hysterectomy.

anti-A / anti-B / anti-D / D ctrl / Wk D / Ck / Wk D ctrl / Ck / A1 cell / B cell / Interpretation
0 / 0 / 0 / 0 / 2+ / 0 / 2+ / 4+ / 3+
IS / 37C / AHG / CHECK CELLS / Interpretation
S1 / S2 / S3 / S1 / S2 / S3 / S1 / S2 / S3 / S1 / S2 / S3
0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 2+ / 2+ / 2+
IS / 37C / AHG / CHECK CELLS / Interpretation
Donor 1 / 0 / 0 / 0 / 2+
Donor 2 / 0 / 0 / 0 / 2+
  1. The patient is a 52 year old male with severe GI bleeding. The hematocrit is 21% and the doctor wishes to transfuse 2 units of blood ASAP. The patient states he was transfused in 2007 at another hospital.

anti-A / anti-B / anti-D / D ctrl / Wk D / Ck / Wk D ctrl / Ck / A1 cell / B cell / Interpretation
4+ / 4+ / 4+ / 0 / 0 / 0
IS / 37C / AHG / CHECK CELLS / Interpretation
S1 / S2 / S3 / S1 / S2 / S3 / S1 / S2 / S3 / S1 / S2 / S3
0 / 0 / 0 / 0 / 2+ / 2+ / 0 / 3+ / 3+ / 2+
IS / 37C / AHG / CHECK CELLS / Interpretation
Donor 1 / 0 / 2+ / 3+
Donor 2 / 0 / 0 / 0 / 2+
  1. The patient is a 65 year old female schedule for a triple coronary artery bypass (CABG). The physician wishes to have 2 units of blood available during the surgery. The patient states she has never been transfused or pregnant.

anti-A / anti-B / anti-D / D ctrl / Wk D / Ck / Wk D ctrl / Ck / A1 cell / B cell / Interpretation
0 / 4+ / 3+ / 3+ / 0
IS / 37C / AHG / CHECK CELLS / Interpretation
S1 / S2 / S3 / S1 / S2 / S3 / S1 / S2 / S3 / S1 / S2 / S3
0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 2+ / 2+ / 2+
IS / 37C / AHG / CHECK CELLS / Interpretation
Donor 1 / 0 / 0 / 1+ / 2+
Donor 2 / 0 / 0 / 0 / 2+
  1. This is a 57 year old male scheduled for a total hip replacement. The physician wishes to have 2 units of blood available during the surgery. The patient states he was transfused 10 years ago during surgery for a ruptured spleen.

anti-A / anti-B / anti-D / D ctrl / Wk D / Ck / Wk D ctrl / Ck / A1 cell / B cell / Interpretation
4+ / 0 / 0 / 0 / 0 / 2+ / 0 / 2+ / 0 / 3+
IS / 37C / AHG / CHECK CELLS / Interpretation
S1 / S2 / S3 / S1 / S2 / S3 / S1 / S2 / S3 / S1 / S2 / S3
1+ / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 2+ / 2+ / 2+
IS / 37C / AHG / CHECK CELLS / Interpretation
Donor 1 / 1+ / 0 / 0 / 2+
Donor 2 / 0 / 0 / 0 / 2+