Cindy Johnston, 65 years of age, is schedule to have a right total knee replacem

Question

Cindy Johnston, 65 years of age, is schedule to have a right total knee replacement next week. She is at the pretesting clinic having the preoperative testing completed. The orders include: CBC, comprehensive metabolic panel, urinalysis, type and cross match for 2 units of PRBCs, chest x-ray, and ECG. Mrs. Johnston asks if she can donate her own blood for the procedure. (Learning Objective 5)
a. What are the advantages of autologous blood donation?
b. Which patients would not be candidates for autologous donation?

Explanation / Answer

Ans a: the advantages of autologous blood donation are as follows:

- no risk of immune reaction.

- availability

- no risk of blood born infection like HIV, HCV etc

Ans b: the patient who has low haemoglobulin willl not be a candiadte for autologous donation. This is only feasible for patient having hb more then 12 and going a planned surgery. Moreover, it is not an option in emergency aituation. Not an option in parient having heamoglobunopathy.

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