Blood transfusion reaction

Question 1

List the types of Acute Transfusion Reactions

Answer 1

ACUTE TRANSFUSION REACTIONS
Life threatening:
1. TACO (RDS + Hypertension)
2. TRALI (RDS + Hypotension)
3. Acute hemolysis (Hypotension | oozing | type error | oliguria)
4. Sepsis (Hypotension + Fever)
5. Anaphylaxis (RDS/wheeze + hypotension + RAPID)

Non-life threatening:

6. Urticaria (UTR)
7. Febrile non-hemolytic reactions (FNHTR)

Question 2

What is the treatment of acute hemolytic transfusion reactions

Answer 2

1. Declare, help, communicate
2. Stop and disconnect transfusion

SPECIFIC
1. Maintain urine output > 1 ml/kg/hr

SUPPORTIVE
ABCDE