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NBME 20 Answers

nbme20/Block 3/Question#40 (18.2 difficulty score)
Two days after admission to the hospital ...
Do not proceed with the transfusionπŸ”,πŸ“Ί

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submitted by hayayah(1081),
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hTe lnyo emit uoy nusaftser a Jvsohh'ea eitssnW tiepant si hnew eth pntteia si a inmro l1&;t8( sarey )old.

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. +  

submitted by cuteaf(6),

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.