What clinical data is most important and must be recognized as clinically significant by the nurse after a blood transfusion?
Added by Luisa C.
Step 1
Step 1: Monitor Vital Signs - After a blood transfusion, the nurse should closely monitor the patient's vital signs, including temperature, heart rate, blood pressure, and respiratory rate, to detect any immediate reactions. Show more…
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Adi S.
A 17-year-old man is admitted with multiple injuries after his motorcycle crashes. The emergency department physician draws a blood sample for a stat type and crossmatch. The motorcyclist's passenger also has blood drawn for a stat type and screen. An immediate-spin crossmatch is compatible between the group A patient and group A donor. The unit of blood is issued from the blood bank as an emergency release. After receiving 50 mL of the first unit of RBCs, the man develops shaking chills and becomes hypotensive with a falling blood pressure. The unit of cells is immediately discontinued, and the transfusion service is notified of the situation. A recheck of testing is requested immediately. Laboratory Testing Clerical check: No evidence of clerical errors Hemoglobinemia: Slight hemolysis observed Direct antiglobulin test Patient pretransfusion: Negative Patient posttransfusion: Weakly positive Recheck of blood grouping Patient pretransfusion: A positive Patient posttransfusion: O positive Donor: A positive Repeat crossmatches Patient pretransfusion + Donor red blood cells = Compatible Patient posttransfusion + Donor red blood cells = Incompatible Critical Thinking Questions 1. Why did this patient experience shaking chills and other adverse effects after receiving only 50 mL of red blood cells? 2. If the patient's adverse reaction to the blood transfusion had not been noted soon after the beginning of the transfusion, what physiological changes would have occurred to the patient?
Shyam P.
Explain the important of named precautions before blood transfusion can be done
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