Transfusion Reactions clinical signs and lab findings

Question 0

Fever/chills, mild jaundice, anemia

Answer 0

Delayed hemolytic

Question 1

fever, bleeding, tachycardia, hypotension, low back pain, dyspnea, hemoglobinuria, feeling of impending doom, death

Answer 1

Immediate Hemolytic

Question 2

increased temp > or equal to 1’C or 2’F, chills

Answer 2

Febrile (non-hemolytic)

Question 3

urticaria, pruritis, flushing

Answer 3

allergic

Question 4

severe dyspnea, tachycardia, hypotension

Answer 4

anaphylactic

Question 5

dyspnea, chills, fever, hypotension, chest rales, pulmonary edema, “white out”

Answer 5

TRALI

Question 6

Dyspnea, cyano, chest rales, pulmonary edema, HYPERtension

Answer 6

TACO

Question 7

rapid onset, sepsis/rigors, high fever immediately

Answer 7

bacterial contamination

Question 8

thrombocytopenia

Answer 8

post-transfusion purpura

Question 9

skin, GI system, bone marrow, hepatitis, dermatitis, enteritis

Answer 9

TA-GVHD

Question 10

accumulation of iron affects function of heart, liver, and endo glands

Answer 10

Iron overload

Question 11

LAB: DAT + , hemoglobinemia, increased bili and LDH, decreased haptoglobin, hemoglobinuria

Answer 11

Immediate Hemolytic

Question 12

LAB: DAT + , IDAT + , spheres

Answer 12

Delayed hemolytic

Question 13

Febrile (non-hemolytic), allergic, anaphylactic, TRALI, TACO, and TA-GVHD are ONLY DAT ________

Answer 13

Negative

Question 14

LAB: product discolored, patient DAT neg, hemoglobinemia, hemoglobinuria, and culture product pos

Answer 14

Bacterial contamination

Question 15

LAB: extremely low platelet count and DAT negative

Answer 15

Post-transfusion purpura

Question 16

LAB: DAT neg, diagnosed with ferritin levels

Answer 16

Iron overload