Interpreting Hemolysis Test Results
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Questions and Answers

What is the likely cause of incompatible results with post-transfusion samples but compatible with pre-transfusion samples?

  • Presence of antibodies in the recipient's blood
  • Intrinsic red cell defect
  • Bacterial contamination of the donor unit
  • Anamnestic antibody response (correct)

What is the next step in investigation if both crossmatches are compatible but there is strong clinical evidence of acute immune hemolytic reaction?

  • Stop the transfusion immediately
  • Perform antibody detection tests using more sensitive techniques (correct)
  • Administer steroids to the patient
  • Repeat the crossmatch

What is the purpose of examining post-transfusion urine for the presence of free hemoglobin or hemosiderin?

  • To diagnose acute kidney injury
  • To detect hemolysis (correct)
  • To assess blood transfusion reaction
  • To monitor kidney function

Why is it important to measure serum haptoglobin in both pre and post transfusion samples?

<p>To assess hemolysis (A)</p> Signup and view all the answers

What is the purpose of testing the donor unit for the corresponding antigen?

<p>To identify the antigen responsible for the reaction (B)</p> Signup and view all the answers

What is indicated by a negative hemolysis test and a negative DAT?

<p>An acute immune hemolytic reaction has NOT occurred (D)</p> Signup and view all the answers

What is the next step in investigation if there is a discrepancy in patient/donor identification?

<p>Search appropriate records and notify physician-in-charge (D)</p> Signup and view all the answers

What is the interpretation of a positive hemolysis test and/or a positive DAT?

<p>Suggests the presence of coating antibodies in circulating cells (D)</p> Signup and view all the answers

What is the purpose of repeating ABO/RH typing and antibody screening in further investigation?

<p>To identify errors in labeling and/or identification (C)</p> Signup and view all the answers

What is the result of incompatible crossmatch with both pre and post transfusion samples against the sample of the donor?

<p>Error during pre-transfusion testing (D)</p> Signup and view all the answers

What is the significance of antibody complement-coated cells being rapidly destroyed?

<p>It indicates that an acute immune hemolytic reaction has NOT occurred (B)</p> Signup and view all the answers

What is the primary purpose of the autocontrol test in an investigation of incompatible crossmatch?

<p>To determine if the problem is due to either blood group isoantibody or nonspecific reaction (C)</p> Signup and view all the answers

What is the potential cause of a positive reaction in the saline at 37°C stage of investigation?

<p>Irregular antibody, autoagglutinin, or rouleaux formation (A)</p> Signup and view all the answers

What is the importance of grading donor reactions in the investigation of suspected hemolytic transfusion reaction?

<p>To determine if the reactions of incompatible blood are all of the same strength (C)</p> Signup and view all the answers

What is the purpose of rechecking the Rh type in the investigation of incompatible crossmatch?

<p>To confirm the correct selection of blood unit (A)</p> Signup and view all the answers

What is the significance of a positive DAT result in the investigation of suspected hemolytic transfusion reaction?

<p>It indicates the presence of irregular antibody (D)</p> Signup and view all the answers

What is the primary step in the investigation of incompatible crossmatch?

<p>Verifying the patient's identity (C)</p> Signup and view all the answers

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