BLOOD BANK CASE 1-8
PATIENT I
Anne L., a 48-year-old woman (5 ft 4 in, 125 lb), reported to her gynecologist that
she had been extremely tired, physically weak, and did not have the energy to do
her job. Upon questioning, she noted having very heavy menstrual periods lasting
for 1 1/2 to 2 weeks. Her hemoglobin was 6.1 g/L; hematocrit, .19L/L; MCV (mean
corpuscular volume), 70 fL; MCHC (mean corpuscular hemoglobin concentra-
tion), 27 g/dL.
1. Does Anne need a transfusion? Explain why or why not.
2. Support the viewpoint opposite to the one you expressed in question 1.
Give a reason why a physician would take this stand.
3. What type of anemia is indicated by Anne's complete blood count (CBC)
and medical history?
4. If Anne is transfused, what would be the recommended component and
how many?