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Clinical Question: Is my patient refractory to platelet transfusions due to alloantibodies?

Item Value
ID 4
Question Is my patient refractory to platelet transfusions due to alloantibodies?
AlgorithmLink Click here for algorithm
AlgorithmDescription It is imperative that clinicians obtain a post-transfusion platelet count 10 minutes to 1 hour after every platelet transfusion to ensure that the Blood Bank can adequately assess for platelet refractoriness. Please note that while this algorithm is provided as a generalized overview, the Blood Bank resident and attending will work closely with the clinical team on a case-by-case basis to determine the pathway that best matches a patient's transfusion needs.
ICD10 D69.59,R16.1,A41.9,D65,K76.5
PubMedID

 

Tests associated with this clinical question:

Click on the test name for more information about the use of this test to answer this clinical question

ID Test Code Test Name Comment
17 PLT, CBC , CBCD, PLTM Platelet Count Not Specified
18 MOLT (Order in Apex as 'Miscellaneous Outside Lab Test' using the complete test name above) Platelet Crossmatch Platelet crossmatch can be done only after consultation with the blood bank laboratory medicine resident.
19 ILSSP HLA-ABC Typing – Intermediate Resolution Not Specified
20 ILPRA1 HLA Antibody Testing – Class I PRA Not Specified
21 ILLS1 HLA Antibody Specificity – Class I Not Specified

 

Clinical Algorithm:

algorithm image

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