NSE 22A/B Study Guide - Midterm Guide: Blood Bank, Blood Transfusion, Antihypotensive Agent
14 Dec 2019
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Symptoms noted up to 2-3 hours from start of transfusion. During transfusion up to 2-3 hours from start. Urticaria, erythema, anxiety, respiratory distress, hypotension, laryngeal/pharyngeal edema, bronchospasm, nausea, vomiting, dyspnea, cyanosis, tachycardia, substernal pain, loss of consciousness, cardiac arrhythmia, cardiac arrest. Severe allergic within 2-3 hours of start of transfusion. 1-45 minutes after small volume of product transfused. Consult with hcp/physician they will decide whether to proceed with transfusion. Report mild reactions to blood bank with reaction slip only. Assess client- vitals almost every 4 min. Expect the following prescriptions/ orders, depending on client symptoms. Oxygen therapy- -//oxygen mask not nasal prongs. Send sample to blood bank to test for anti iga antibodies patient may require iga deficient blood components. Temperature increase 38 c or 1. 0c from pre-transfusion value, chills, rigors, headache, malaise, vomiting, nausea. Continue transfusion, as per md, cautiously once temp decreases and if blood product is still viable (<4 hours out of blood bank)
