Blood Transfusions - Risks associated with transfusion Flashcards
1
Q
What are possible causes of a pyrexia (on it’s own)?
A
- Febrile non-haemolytic transfusion reaction - FNHTR
- Transfusion associated Septicaemia (septic shock) - TAS
- IBCT
- Transfusion related acute lung injury (TRALI)
2
Q
How would you treat an isolated pyrexia in someone having a tranfusion?
A
- Anti-pyretic
- Monitor for other signs
3
Q
What are possible causes of urticaria in someone having a blood transfusion?
A
- Mild allergic reaction
- Anaphylaxis
4
Q
How would you manage someone recieving blood transfusion with isolated urticaria?
A
- Anti-histamine
- Monitor for other signs - bronchospasm, shock
5
Q
What are possible causes of dyspnoea in someone recieving a blood transfusion?
A
- TACO
- TRALI
- Anaphylaxis
- TAS
- IBCT
6
Q
How would you manage someone experiencing a TACO?
A
- O2
- Diuretics
7
Q
How would you manage someone with a TRALI?
A
- O2
- Ventilation
- CXR - white out
- Transfer to ITU
8
Q
How would you manage someone experiencing an anaphylactic reaction to blood components?
A
- O2
- IM adrenaline
- Antihistamines
9
Q
What are causes of shock in someone recieving blood products?
A
- IBCT
- Anaphylaxis
- TRALI
- TAS
10
Q
What are features of a mild transfusion reaction?
A
- Fever
- Urticaria
- Rash
- Pruritis
11
Q
What are features of moderate/severe transfusion reactions?
A
- Fever +/- rigors
- Dyspnoea
- Anxiety
- Tachycardia
