The nurse is monitoring a patient with hemophilia who is receiving a factor VIII concentrate. During the assessment, the nurse notes that the patient has nasal congestion, and a red rash appears on the chest. The nurse should prepare to administer
a. diphenhydramine (Benadryl).
b. human albumin.
c. epinephrine (Adrenaline).
d. norepinephrine.
ANS: A
Factor VIII concentrates can cause allergic reactions, which can range from mild to severe. Symptoms of a mild reaction include hives, rash, urticaria, stuffy nose, and fever. These can be managed with an antihistamine (eg, Benadryl).
Human albumin and norepinephrine are not indicated for allergic reactions.
Epinephrine is indicated for an anaphylactic reaction.
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