======Transfusion Reactions====== ^ Reactions ^ Description ^ | Benign febrile non-hemolytic transfusion reaction | Fever immediately | | Acute hemolytic transfusion reaction | Fever immediately, followed by \\ Tachycardia, shock, flank pain, hemoglobinuria (muddy brown urine without RBCs) | | Delayed Hemolytic Transfusion Reaction \\ Delayed Serologic Transfusion Reaction (no hemolysis) | Days to weeks \\ Jaundice, pallor, fatigue | | IgE-mediated allergic reaction | Hives, urticaria, anaphylaxis | | Transfusion-transmitted bloodstream infection | | | Graft versus Host Disease | | | TACO | | | TRALI | | | Viral Transmission | | | Iron Overload | | =====Management===== * Concern for acute hemolytic transfusion reaction - Stop transfusion - Take care of patient (meds, fluids, oxygen) - Call blood bank - Peripheral smear - Direct/indirect Coombs - Other hemolysis labs =====Other===== * All pRBCs are leukoreduced at LAC+USC * Preparing for Blood * Blood type: ABO/Rh status, <15 minutes (for lab) * Screen: 15-30 minutes (for lab) * Cross: 30-60 minutes (for lab), highly variable