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Retired NBME 20 Answers

nbme20/Block 3/Question#40 (reveal difficulty score)
Two days after admission to the hospital ...
Do not proceed with the transfusion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +9  upvote downvote
submitted by โˆ—hayayah(1212)
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The only time you transfuse a Jehovah's Witness patient is when the patient is a minor (<18 years old).

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medstudent65  I get why the answer is not to proceed but simply stating at admissions you dont want blood products means nothing without proper paperwork being signed. +
md_caffeiner  @medstudent65 From what I recall paperwork is needed for example: if the pt is unconscious and wife says that he is Jehovah's Witness. +



 +2  upvote downvote
submitted by cuteaf(11)
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You should always, always follow the patient's wishes (in this case you are aware that the patient did not want a transfusion). Family's input is only useful when it helps you understand what the patient would have wanted. The husband is clearly going against the wife's wishes.

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