First Case: This is an 84 female patient admitted through the emergency room with generalized weakness, fever, chills, likely urinary tract infection and likely metastatic lung masses.

Review the case abstract by clicking on or copying and pasting this box.com link into your browser. Once you have accessed the link, select the Download button to view the patient case sheet.

https://app.box.com/s/mo9yi44wz61db6e26ix8

The sequential events between ER and 31 hours 19 minutes post-admission are listed in lines 12 through 49 in the case abstract. If information is not listed, then the information was not recorded in the medical record or the information is deemed not significant. Most if not all pertinent events documented in the chart, relating to transfusion, have been listed.

Questions:
1. Should other diagnostic tests or treatment related to transfusion medicine, not listed, have been performed be performed prior to this point?

2. Should blood component orders be written for this patient? Why or why not?
We look forward to your reply. Don’t be shy.