Problem:
Adverse Effects of Transfusion are to be carefully monitored when administering blood transfusions. The first step is to stop the transfusion immediately with the consent from RN or concerned physician. All suspected acute transfusion reactions should be reported immediately to the blood transfusion centre and to the doctor responsible for the patient. For mild reactions: Slow the transfusion. Administer antihistamine IM. If improved, restart transfusion slowly. For moderately severe blood transfusions, assist the registered nurse in the following : Stop the transfusion and keep IV line open with normal saline in another site. Return the blood unit with transfusion administration set, freshly collected urine and new blood samples drawn from a vein opposite to the transfusion site, to the blood transfusion centre for laboratory investigations. Administer antihistamine IM and oral or rectal antipyretic. Avoid aspirin in thrombocytopenic patients. Give IV corticosteroids and bronchodilators if there are anaphylactoid features (e.g. bronchospasm, stridor). If clinical improvement occurs, restart transfusion slowly with new blood unit and observe carefully. Collect urine for next 24 hours for evidence of haemolysis and send for laboratory investigations. Summarize. Need Assignment Help?