Clinical Management of Acute Transfusion Reactions

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What is the first action a nurse should take if a blood reaction is suspected during a transfusion?

Stop the transfusion immediately

Why should the nurse not simply turn off the blood and turn on the 0.9% normal saline during a suspected blood reaction?

To prevent infusion of mismatched blood remaining in the Y-tubing

What should the nurse do while observing signs and symptoms and monitoring vital signs during a suspected transfusion reaction?

Monitor vital signs as often as every five minutes

Why is obtaining a urine specimen and sending it to the laboratory important during a suspected transfusion reaction?

<p>To determine the presence of hemoglobin as a result of RBC hemolysis</p> Signup and view all the answers

What should the nurse do with the blood container, tubing, attached labels, and transfusion record during a suspected transfusion reaction?

<p>Save and return them to the laboratory</p> Signup and view all the answers

What should the nurse prepare to administer in case of a suspected blood reaction during a transfusion?

<p>Emergency drugs such as antihistamines, vasopressors, fluids, and steroids as per physician order or protocol</p> Signup and view all the answers

What is the most effective strategy to prevent acute transfusion reactions?

<p>Ensuring proper cross matching</p> Signup and view all the answers

Why is it important to observe before, during, and after for transfusion regulation and allergic reactions?

<p>To identify any potential allergic reactions</p> Signup and view all the answers

What is the significance of discarding administration tubing after four hours or after 2 units, or immediately after administering fractionated products?

<p>To avoid contamination with other medications or fluids</p> Signup and view all the answers

Why should two RNs together check the label on the blood product against the patient’s ID number, blood group, and name?

<p>To ensure the blood is matched for ABO grouping and Rh factor</p> Signup and view all the answers

What action can help in early detection of a transfusion reaction?

<p>Beginning the transfusion slowly</p> Signup and view all the answers

Why is it essential to assess the patient’s history and allergies before a transfusion?

<p>To identify any potential allergic reactions</p> Signup and view all the answers

Which of the following is NOT a recommended strategy to prevent acute transfusion reactions?

<p>Discarding administration tubing after four hours</p> Signup and view all the answers

What is the significance of two RNs checking the label on the blood product against the patient’s ID number, blood group, and name?

<p>Ensuring correct blood transfusion</p> Signup and view all the answers

Why is it important to begin the transfusion slowly?

<p>To allow for early detection of reaction</p> Signup and view all the answers

What action can help in early detection of a transfusion reaction?

<p>Staying with the patient during the first 15 minutes</p> Signup and view all the answers

Why is it essential to assess the patient’s history and allergies before a transfusion?

<p>To avoid allergic reactions</p> Signup and view all the answers

What should be done with blood products to ensure proper delivery and prevent cross contamination?

<p>Deliver blood products in tubing with a filter</p> Signup and view all the answers

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