Transfusion Reactions Flashcards
1
Q
General reactions
A
Clotting abnormal
- give fresh frozen plasma
Electrolyte abnormality
- hypocalcaemia (cheating agents)
- hyperkalaemia
Hypothermia
2
Q
ABO incompatibility
A
Haemolytic reaction due to wrong blood group instantly
Associated with:
- urticaria
- Hypotension
- Fever
Mx
- Stop transfusion
3
Q
TACO - transfusion associated fluid overload
A
SOB
Fluid overload
Ix:
- CXR
Mx
- oxygen
- diuretics
- stop fluids
4
Q
Transfusion related acute lung injury
A
ARDS
- O2
- CXR
- ITU
- stop transfusion
5
Q
Anaphylaxis
A
Stop transfusion
- 500mg adrenaline IM 1:1000
- 200mg IV hydrocortisone
- 100mg chlorphenamine
6
Q
Mild allergy
A
Itching
- chlorphenamine
- slow rate given
7
Q
Non haemolytic febrile reaction
A
Mild fever
Paracetamol
Chlorphenamine
Slow rate of infusion
8
Q
Haemolytic reaction
A
Hypotension with no signs of anaphylaxis
Ix:
- bloods
- culture
- abx
Mx
Slow infusion rate
