Managing Transfusion Reactions

Question 1

Patients should be monitored closely with ? every ? ? whilst being transfused.

Answer 1

obs every 30 mins

Question 2

Acute haemolytic reaction;

Suggested by ?, raised ?, low ?, abdominal/ chest ? or signs of ?.
? transfusion, ? resuscitation, keeping IV line ? with ?

Answer 2

agitation
temperature
BP
pain
DIC
STOP
A-E
patent
saline

Question 3

Allergy/ anaphylaxis;

If a simple allergy (?/?), ?/? the transfusion and give ? with close monitoring.

If anaphylaxis, ? the transfusion and treat appropriately

Answer 3

urticaria/itch
stop/slow
chloramphenamine
stop

Question 4

Bacterial contamination;

Suggested by ? ? signs of ? and ?.
? the transfusion and start ? protocol, sending the blood ? to the lab as well as ? from the patient.

Answer 4

rapid onset
sepsis
rigors
stop
sepsis
unit
cultures

Question 5

Transfusion-related acute ? injury (TRALI);

TRALI is basically ???? due to antibodies in the donor plasma, suggested by
? and CXR ? ?
? the transfusion and treat as ????.

Answer 5

lung
ARDS
SOB
white out
stop
ARDS

Question 6

Non-Haemolytic febrile transfusion reaction

? and fever usually 0.5 - ? hour after starting transfusion.
? the transfusion, administer ? and monitor closely.

Answer 6

shivering
1
slow
antipyretic

Question 7

Fluid overload;

? or ? transfusion.
Give ? and a ?;
o If the patient is not hypovolaemic, it is often standard practice to co-prescribe
? to prevent overload.
Consider ? transfusion .

Answer 7

slow/stop
o2
diuretic
furosemide
exchange