Blood Reactions
Made for ADN 420 Exam 3
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- Happens in patients who are transfused a lot. Less severe than acute hemolytic reaction.
- Usually human error, rapid destruction of donor's blood by host
- Occurs when it's infused too quickly, usually occurs with compromised cardiac function, renal failure, and elderly
- Appears while blood is transfusing or 2 hours after, antibodies directed against donor leukocytes
- Sepsis, occurs rapidly
- Can be hypothermic, hypocalcemic and hyperkalemic.
- S/Sx of this reaction includes: itching, wheezing, facial flushing, hives/rash, increased anxiety, decreased BP
- S/Sx of this reaction includes: fever, chills, abdominal pain, back pain, low BP, dark red urine, "something's not right"
- S/Sx of this reaction includes: hypotension, tachycardia, fever, chills, anxiety, tachypnea, headache
- S/Sx of this reaction includes: coughing, dyspnea, chest discomfort, headache
- S/Sx of this reaction includes: high fever, severe chills, cardiovascular collapse
- Nursing action for every blood transfusion reaction EXCEPT Bacterial Contamination and Acute Circulatory Overload
- T or F: Blood transfusion reactions usually happen with the first 15min or 1st 50cc of blood.
- T or F: After a Febrile Nonhemolytic Reaction, you want to give the patient washed red blood cells for the next transfusion.
- T or F: With bacterial contamination, you want to stop the transfusion, obtain samples then call the doctor. And for Acute Circulatory Overload, you want to stop the transfusion, notify doc, and then restart at a lower infusion rate.
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