BLOOD TRANSFUSION REACTION- pharma

Question 1

Febrile reactions

Answer 1

• increased fever
• chills
• flushing -nausea
• vomiting
• increase anxiety

Question 2

Allergic reaction

Answer 2

• hives, pruritis, facial flushing, severe SOB, bronchspasms

Question 3

Hemolytic tranfusion reaction

Answer 3

-low back pain, hypotension, burnoing sensation, along vein, fever 105 or higher, chest pain, labored respiration, HA, immediate onset on first couple of drips of blood

Question 4

nursing implications?

Answer 4

-stop transfusion
- change IV tubing
-treat shock if present with O2, fluids, epineprine as ordered,
- recheck crossmatch record with unit
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Question 5

nursing implication for hemolytic reaction

Answer 5

• obtain 2 blood samples distal to infusion site
• obtain first UA test for hemoglobinuria
• mannitol with suspected renal involvement
• monitor fluid/electrolyte balance
• evaluate serum calcium levels