Difference between revisions of "Common on-call topics in clinical pathology"
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| + | {{Comprehensiveness}} | ||
| + | ==Most useful local documents== | ||
| + | If you're on-call, know where to find local policies, manuals and procedures that are relevant to the departments you may receive calls from. The following local documents are generally most important: | ||
| + | *'''Blood bank''': | ||
| + | :*Cutoff values for '''blood product transfusions'''. {{further|Blood bank}} | ||
| + | :*The [https://www.cdc.gov/nhsn/pdfs/biovigilance/bv-hv-protocol-current.pdf NHSN Biovigilance] document on evaluating suspected '''transfusion reactions'''. | ||
| + | *'''Chemistry''' | ||
| + | :*'''Package inserts''' for instruments used in the laboratory | ||
| + | :*Cutoffs for classifying various test results as '''critical''', and how you are going to proceed in such cases. | ||
| + | Also keep an updated '''telephone list''', including the supervisors for relevant departments. | ||
| − | ==Topics with individual articles | + | ==Blood bank== |
| + | Topics with individual articles: | ||
*[[Blood bank]] | *[[Blood bank]] | ||
:*[[Irradiated blood]] | :*[[Irradiated blood]] | ||
:*[[Transfusion reaction]] | :*[[Transfusion reaction]] | ||
| + | |||
| + | {|class=wikitable align=right | ||
| + | |+Plasma compatibility | ||
| + | |- | ||
| + | | || ||colspan=4| '''Donor''' | ||
| + | |- | ||
| + | | || || O || A || B || AB | ||
| + | |- | ||
| + | |rowspan=4| [[File:Recipient vertical.png|15px]] || O || [[File:Check-41-108-41-green.svg|15px]] || [[File:Check-41-108-41-green.svg|15px]] || [[File:Check-41-108-41-green.svg|15px]] || [[File:Check-41-108-41-green.svg|15px]] | ||
| + | |- | ||
| + | | A || [[File:Arbcom ru declined.svg|15px]] || [[File:Check-41-108-41-green.svg|15px]] || [[File:Arbcom ru declined.svg|15px]] || [[File:Check-41-108-41-green.svg|15px]] | ||
| + | |- | ||
| + | | B || [[File:Arbcom ru declined.svg|15px]] || [[File:Arbcom ru declined.svg|15px]] || [[File:Check-41-108-41-green.svg|15px]] || [[File:Check-41-108-41-green.svg|15px]] | ||
| + | |- | ||
| + | | AB || [[File:Arbcom ru declined.svg|15px]] || [[File:Arbcom ru declined.svg|15px]] || [[File:Arbcom ru declined.svg|15px]] || [[File:Check-41-108-41-green.svg|15px]] | ||
| + | |} | ||
| + | ;Incompatible plasma | ||
| + | In emergencies, it is acceptable to approve plasma that is ABO incompatible or possibly incompatible (such as from a type A donor to a recipient with unknown blood type). | ||
| + | |||
| + | ==Other topics with individual articles== | ||
*[[Low blood glucose]] | *[[Low blood glucose]] | ||
| + | *[[Suspected blasts on peripheral blood smear]] | ||
==Suspected falsely low TSH== | ==Suspected falsely low TSH== | ||
If a clinician thinks a TSH result is falsely low (generally signs of hypothyroidism but TSH is not elevated), first check with the lab if their TSH assay is susceptible to high patient biotin levels, and if it is, ask the clinician if the patient takes biotin supplementation, which can explain the low TSH levels. | If a clinician thinks a TSH result is falsely low (generally signs of hypothyroidism but TSH is not elevated), first check with the lab if their TSH assay is susceptible to high patient biotin levels, and if it is, ask the clinician if the patient takes biotin supplementation, which can explain the low TSH levels. | ||
| + | {{Bottom}} | ||
Latest revision as of 17:39, 15 May 2023
Author:
Mikael Häggström [note 1]
Contents
Comprehensiveness
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
- ((Comprehensive))
Most useful local documents
If you're on-call, know where to find local policies, manuals and procedures that are relevant to the departments you may receive calls from. The following local documents are generally most important:
- Blood bank:
- Cutoff values for blood product transfusions. Further information: Blood bank
- The NHSN Biovigilance document on evaluating suspected transfusion reactions.
- Chemistry
- Package inserts for instruments used in the laboratory
- Cutoffs for classifying various test results as critical, and how you are going to proceed in such cases.
Also keep an updated telephone list, including the supervisors for relevant departments.
Blood bank
Topics with individual articles:
| Donor | |||||
| O | A | B | AB | ||
 |
O |  |
|
|
|
| A |  |
|
|
| |
| B | |
|
|
| |
| AB | |
|
|
| |
- Incompatible plasma
In emergencies, it is acceptable to approve plasma that is ABO incompatible or possibly incompatible (such as from a type A donor to a recipient with unknown blood type).
Other topics with individual articles
Suspected falsely low TSH
If a clinician thinks a TSH result is falsely low (generally signs of hypothyroidism but TSH is not elevated), first check with the lab if their TSH assay is susceptible to high patient biotin levels, and if it is, ask the clinician if the patient takes biotin supplementation, which can explain the low TSH levels.
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
Main page
References
Image sources
