Transfusion reactions

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Author:
sashatom
ID:
75302
Filename:
Transfusion reactions
Updated:
2011-03-26 12:29:42
Tags:
blood transfusions reactions treatments
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Description:
Signs and treatments for blood transfusion reactions
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  1. Signs of Hemolytic Transfusion Reaction
    • Increased HR, RR
    • Decreased BP
    • Apprehension and doom
    • Chest pain, headache, lower back pain
    • DIC, hemoglobinuria
  2. Signs of TRALI
    • Sudden onset of respiratory distress
    • Pulmonary edema
    • Hypoxemia
    • Absence of JVD and HTN
  3. Signs of Allergic Transfusion Reaction
    • Uticaria
    • Itching
    • Bronchospasm
    • Anaphylaxis
  4. Signs of Febrile Transfusion Reaction
    • Fever
    • Flushing
    • Headache
    • Muscle Pain
    • Tachypnea
  5. Signs of Bacterial Transfusion Reaction
    • Tachycardia
    • Hypotension
    • Fever/chills
    • Shock
    • Vomiting/Diarrhea
  6. Signs of Circulatory Overload
    • Dyspnea
    • HTN
    • JVD
    • Bounding Pulse
    • Confusion/Restlessness
    • Crackles
  7. Treatment for Hemolytic Reaction
    • Stop transfusion
    • Manage symptoms
  8. Treatment for TRALI
    • Stop transfusion
    • Give diuretics, antihistamines and corticosteroids
    • Give Oxygen, possibly intubate
  9. Treatment for Allergic Transfusion Reaction
    • Stop transfusion
    • Administer antihistamines, corticosteroids, epinephrine and antipyretic
  10. Treatment for Febrile Transfusion Reaction
    • Stop transfusion
    • Administer antipyretic
  11. Treatment for Bacterial Transfusion Reaction
    • Stop transfusion
    • Give IV fluids and supportive care
    • C&S from donor and patient
    • Administer broad spectrum antibiotic
  12. Treatment for Circulatory Overload
    • Stop Transfusion
    • Administer diuretic

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