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Questions and Answers
Which clinical manifestation is indicative of a hemolytic transfusion reaction?
Which clinical manifestation is indicative of a hemolytic transfusion reaction?
What symptom should the nurse monitor for to identify a hemolytic transfusion reaction?
What symptom should the nurse monitor for to identify a hemolytic transfusion reaction?
Which of the following signs can help confirm a hemolytic transfusion reaction during monitoring?
Which of the following signs can help confirm a hemolytic transfusion reaction during monitoring?
Which clinical sign would be least likely to indicate a hemolytic transfusion reaction?
Which clinical sign would be least likely to indicate a hemolytic transfusion reaction?
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What additional symptom might suggest a hemolytic transfusion reaction has occurred?
What additional symptom might suggest a hemolytic transfusion reaction has occurred?
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Study Notes
Clinical Manifestations of Hemolytic Transfusion Reaction
- Fever: A sudden increase in body temperature, often accompanied by chills, is a key indicator.
- Chills: A feeling of coldness, often accompanied by shivering. These are often associated with the fever.
- Flushing: Reddening of the skin, especially the face and neck. This signifies vasodilation and can correlate to the inflammatory response triggering the reaction.
- Tachycardia: An abnormally rapid heartbeat. This is a critical sign of circulatory distress.
- Hypotension: Abnormally low blood pressure. Marked hypotension can lead to shock.
- Nausea and Vomiting: Common symptoms suggesting a reaction disrupting the digestive system. These can also be symptoms of other conditions.
- Back Pain: Pain in the back is a common manifestation of a hemolytic transfusion reaction.
- Chest Pain: Discomfort or pain in the chest, often due to pulmonary involvement.
- Dyspnea/Shortness of Breath: Difficult or labored breathing, implicating respiratory distress and often linked to lung involvement/compromise.
- Anxiety/Restlessness: A sense of unease or agitation, often associated with the physiological distress.
- Headache: Head pain can occur; similar to the other symptoms.
- Oliguria/Anuria: Decreased or absent urine output, a crucial indicator of kidney damage. This is a serious symptom indicating potential kidney failure.
- Dark-Colored Urine: Urine that appears darker in color than usual suggests the presence of hemoglobin in the urine or a breakdown product.
- Jaundice: A yellowish discoloration of the skin and sclera, signalling bilirubin elevation from red blood cell breakdown; it can be indicative of severe liver problems.
- Hematuria: The presence of blood in the urine. Also related to the severe hemolysis.
- Bleeding: Increased bleeding tendency as blood clotting factors could potentially be lost.
- Vascular Collapse/Shock: A serious complication with severe hypotension and poor perfusion of vital organs. The patient may become unresponsive.
- Changes in vital signs (heart rate, blood pressure, respiratory rate): Rapid and often significant changes in vital signs are strongly suggestive of a reaction. This can involve the above noted points.
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Description
Explore the key clinical manifestations of hemolytic transfusion reactions. This quiz covers symptoms such as fever, chills, flushing, tachycardia, and more. Test your knowledge on recognizing these critical signs and their implications in patient care.