Transfusion Reactions

Question 1

What is the presentation of a non-haemolytic febrile reaction?

Answer 1

Fever
Chills

Question 2

What is the management of a non-haemolytic febrile reaction?

Answer 2

Slow or stop the transfusion
Paracetamol
Monitor

Question 3

What is the presentation of a minor allergic reaction to transfusion?

Answer 3

Pruritis
Urticaria

Question 4

What is the management of a minor allergic reaction to a transfusion?

Answer 4

Temporarily stop the transfusion
Antihistamine
Monitor

Question 5

What is the management of anaphylaxis following transfusion?

Answer 5

Stop the transfusion
IM adrenaline
A to E assessment and management

Question 6

What is the presentation of an acute haemolytic reaction to transfusion?

Answer 6

Starts minutes after the transfusion is started
Fever
Abdominal pain
Hypotension
Agitation

Question 7

What is the management of an acute haemolytic reaction to a transfusion?

Answer 7

Stop transfusion
Check patient has been given right blood
Send blood for direct coombs test, repeat typing and cross-matching
Fluid resuscitation

Question 8

What is the presentation of transfusion-associated circulatory overload?

Answer 8

Pulmonary oedema
Hypertension
Respiratory distress

Question 9

What is the management of transfusion-associated circulatory overload?

Answer 9

Slow or stop transfusion
Consider IV loop diuretics and oxygen