Case 7 (9/08/2013): Subsequent Patient Management

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… This 112 year-old male was admitted with shortness of breath and was placed on broad spectrum antibiotic coverage. You may assume that information not listed in the patient case sheet was either not recorded or not significant. The hemoglobin on admission is 11.4 gm/dL and declined to 8.3 gm/dL, 78 hours post-admission.

The patient was transfused one unit PRBC, 96:16 hours post-admission. The post-transfusion hemoglobin was 12.4 gm/dL, 100:41 hours post-admission. The patient expired 20 hours and 49 minutes post-transfusion. What comments about the overall patient management can be made?

You must download the file after opening the link in box.com, or you will not be able to easily see all of the information in the file. This case management commentary follows the initial patient presentation posted 9/08/2013 and includes commentary about blood management in this patient. If you encounter a problem with the box download, notify me at djadwin@columbia-analytics.com. This material is Copyright © 2013 by Columbia Healthcare Analytics, Inc. and may not be used for other purpose without written permission.