Clinical Management of Acute Transfusion Reactions

Play an AI-generated podcast conversation about this lesson

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

Continue monitoring the patient's vital signs

Notify the physician within 30 minutes

Stop the transfusion immediately (correct)

Change the Y-tubing infusion set to 0.9% normal saline

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

To save the remaining blood for future use

To avoid wastage of blood

To ensure proper mixing of blood with saline

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

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 (correct)

Administer emergency drugs without physician order

Prepare to discharge the patient from the hospital

Leave the patient unattended and inform the physician

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

To determine the presence of hemoglobin as a result of RBC hemolysis 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?

Save and return them to the laboratory Signup and view all the answers

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

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

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

Ensuring proper cross matching Signup and view all the answers

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

To identify any potential allergic reactions 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?

To avoid contamination with other medications or fluids 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?

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

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

Beginning the transfusion slowly Signup and view all the answers

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

To identify any potential allergic reactions Signup and view all the answers

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

Discarding administration tubing after four hours 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?

Ensuring correct blood transfusion Signup and view all the answers

Why is it important to begin the transfusion slowly?

To allow for early detection of reaction Signup and view all the answers

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

Staying with the patient during the first 15 minutes Signup and view all the answers

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

To avoid allergic reactions Signup and view all the answers

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

Deliver blood products in tubing with a filter Signup and view all the answers

Clinical Management of Acute Transfusion Reactions

Choose a study mode

Podcast

Questions and Answers

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Why is it important to begin the transfusion slowly?

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

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

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

More Like This

Clinical Management Lecture

Clinical Management of Psychosis and Seizures Quiz

Clinical Management in Orthoptics

Clinical Management of Aneurysms and ICP

Upgrade to continue