shared:heme:transfusion_reactions
Table of Contents
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
shared/heme/transfusion_reactions.txt · Last modified: 2020/03/19 11:42 by 127.0.0.1