Transfusion Reactions Flashcards
What are features of non- haemolytic febrile reaction?
Fever/Chills
Slow/stop transfusion
Paracetamol
Monitor
What are features of minor allergic reaction?
Pruritis
Urticaria
Temporarily stop transfusion
Anti histamine
What are features of Anphylaxis?
Hypotension
Wheeze
Dyspnoea
Angioedema
Stop transfusion
IM adrenaline
What are features of acute haemolytic reaction?
Fever
Abdo pain
Hypotension
Stop transfusion
Send blood for direct Coombs
Check blood matches correct patient
What are features of Transfusion associated circulatory overload?
Pulmonary Oedema
HTN
Slow/stop transfusion
Consider diuretic
What are features of Transfusion Related Acute Lung Injury?
Hypoxia
Hypotension
Pulmonary infiltrates on CXR
Fever
Stop transfusion
Supportive Care
What are features of delayed haemolytic transfusion reaction?
IgG antibodies
Presents 5-7 days post transfusion with pyrexia, fatigue, jaundice and low Hb
Positive Coombs test
Monitor and supportive care