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Transfusion Reactions and Interventions

This document provides a table to complete with information about 5 types of transfusion reactions: their causes, clinical signs, and nursing interventions. The 5 reactions are: 1. Acute hemolytic reactions caused by red blood cell damage before transfusion, with signs of chills, low blood pressure, renal failure, and back pain. 2. Delayed hemolytic reactions caused when a foreign antigen is reintroduced, with signs of mild fever, jaundice, and decreased hematocrit. 3. Anaphylactic reactions similar to allergic reactions but more severe, with signs like lack of fever, urticaria, dyspnea, chest tightness, and hypotension.

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154 views2 pages

Transfusion Reactions and Interventions

This document provides a table to complete with information about 5 types of transfusion reactions: their causes, clinical signs, and nursing interventions. The 5 reactions are: 1. Acute hemolytic reactions caused by red blood cell damage before transfusion, with signs of chills, low blood pressure, renal failure, and back pain. 2. Delayed hemolytic reactions caused when a foreign antigen is reintroduced, with signs of mild fever, jaundice, and decreased hematocrit. 3. Anaphylactic reactions similar to allergic reactions but more severe, with signs like lack of fever, urticaria, dyspnea, chest tightness, and hypotension.

Uploaded by

Snow
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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LABORATORY COURSE TASK 1

Complete the table:  Enumerate 5 transfusion reactions and their causes. List the clinical signs
and nursing interventions for each transfusion reactions.  (5 pts per row)

TRANSFUSION CLINICAL SIGNS NURSING


REACTION / CAUSE INTERVENTIONS

1. Acute hemolytic reactions  Chills Stop transfusion immediately.


This can happen if  Low blood pressure Hydrate with normal saline.
there's red blood cell damage  Renal failure Maintain airway, breathing &
before the transfusion due to  Back pain circulation.
heat or an imbalance in the
cells.
2. Delayed hemolytic  Mild fever Stop transfusion immediately.
reactions  Jaundice Hydrate with normal saline.
This may happen when  Decreased post Maintain airway, breathing &
an antigen (toxin or foreign transfusion hematocrit. circulation, obtain pre-
substance) gets reintroduced transfusion bank specimens.
into your blood If ordered, replace lost blood
with additional transfusion.
3. Anaphylactic reactions  Lack of fever Stop transfusion immediately.
Similar to a simple  Urticaria Hydrate with normal saline.
allergic reaction but is more  Dyspnea Maintain airway, breathing &
severe  Chest tightness circulation, and administer
 Hypotension steroids & epinephrine as
 Decreased oxygen ordered.
saturation
4. Febrile non-hemolytic  Fever Stop transfusion immediately.
reactions  Chills Hydrate with normal saline.
This may happen when  Flushing Maintain airway, breathing &
your donor's white blood cells  Nausea most common circulation.
produce cytokines type
(substances that work with
the immune system)
5. Septic (bacteria  Fever Stop transfusion immediately.
contamination) reactions  Chills or rigors Hydrate with normal saline.
This may happen if the  Low blood pressure Maintain airway, breathing &
blood is contaminated with  Abdominal pain circulation. Give broad
bacteria or bacteria waste spectrum antibiotics as
products. ordered. Notify blood bank &
lab. Draw cultures for testing.

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