Transfusion Hazards and Reactions
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Questions and Answers

Which antibodies are sometimes implicated in delayed haemolytic reactions?

  • Duffy antibodies
  • ABO antibodies
  • Kidd antibodies (correct)
  • Rh antibodies

What is the main cause of delayed haemolytic reactions after transfusion?

  • Immediate immune response in the recipient
  • Incompatibility of transfused red cells
  • Failure of Hb to increase after transfusion
  • Recipient red cell antibodies too weak for detection (correct)

What type of haemolytic reactions involve antibodies that do not activate complement?

  • Extravascular haemolytic reactions (correct)
  • Immediate immune response haemolytic reactions
  • Delayed immune response haemolytic reactions
  • ABO incompatibility haemolytic reactions

What is the cause of extravascular haemolytic reactions?

<p>Antibodies that do not activate complement (C)</p> Signup and view all the answers

What is a suspected sign of delayed haemolytic reaction when no immediate reaction occurs after transfusion?

<p>Hb fails to increase after transfusion (C)</p> Signup and view all the answers

Study Notes

Hazards of Transfusion

  • Hazards can affect both the donor and the recipient/patient

Transfusion Risks and Adverse Reactions

  • Many signs and symptoms of transfusion reactions are similar
  • All reactions should be taken seriously
  • Common reactions include:
    • Allergic reactions (not life-threatening)
    • Febrile reactions (respond to treatment)
  • Reactions that cause the most concern include:
    • Transfusion-related acute lung injury (TRALI)
    • ABO mismatch
    • TA-GvHD
    • Sepsis

ABO Incompatible Blood

  • ABO incompatible blood can lead to serious consequences
  • Precautions should be taken during:
    • Collection of blood specimen
    • Cross-matching procedures
    • At the time of issue
    • At the time of infusion of the cross-matched unit of blood (ensure no error in patient identification)

Haemolytic Reactions

  • Haemolytic transfusion reaction occurs when transfused red cells are destroyed in the recipient
  • Reactions can be either acute or delayed, and cell destruction can be either intra- or extravascular

Acute Reactions

  • Reactions that occur shortly after the start of the transfusion are termed acute

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Description

Learn about the hazards and adverse reactions associated with blood transfusions, including risks to both donors and recipients. Understand the signs, symptoms, and seriousness of transfusion reactions.

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