Скачать или смотреть WHAT TO DO FOR A BLOOD TRANSFUSION REACTION

Your patient is having a blood transfusion reaction, what do you do?

In my last video, many of you gave amazing answers of what you’d do in this situation—let’s go over them!

⭐️ Signs and Symptoms
First, it’s important to be able to identify that your patient is HAVING a reaction. This could manifest as:
Fever
Chills
Shortness of breath
Hypotension
Rash
Itching

🩸 Blood Transfusion Reaction Steps

If you notice your patient exhibiting any of these symptoms…

1️⃣STOP the transfusion immediately!
2️⃣Change IV tubing and run normal saline wide open. Do NOT use the same blood tubing as this will flush more of the blood into the patient!

3️⃣Call the provider and blood bank and follow your facility protocol.
🩸 This usually involves:
Monitoring vital signs
Administering emergency medications as ordered
Sending the blood product and tubing to the lab for analysis
Obtaining specimens as needed

🩸 Do NOT Leave the Patient!
Reassess and monitor vital signs closely
Provide emotional support and reassurance

⚠️ Safety Practices
To avoid transfusion reactions, facilities usually have safety practices in place such as:

Requiring updating ABO confirmation
Crossmatching
Starting blood within 30 minutes of arrival
Transfusing within 4 hours
Pre-medications
Staying with the patient for the first 15 minutes
Two-nurse sign off
Advising to order blood only when medically necessary (usually if Hgb less than 7)

What other processes are in place that you’d add to this list? Let me know in the comments below!


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