It Was Discovered That a Patient Who Was to Receive

question 1

Multiple Choice

It was discovered that a patient who was to receive two units of packed RBCs had an anti-Le^a circulating in his system. What would be the proper procedure?

• A) Anti- Le^a is clinically insignificant, and two units could be issued without further workup.
• B) Multiple units should be screened for Le^a antigen, and only two of the units negative for that antigen should be transfused.
• C) The two units do not necessarily need to be Le^a-negative but should be crossmatched through at least 37 degrees and crossmatch compatible before given
• D) The transfusion should be halted until specially screened units are flown in

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