The patient has been home from the hospital for 10 days. On the last day of his hospitalization, he received 2 units of packed RBCs. This morning, he noticed that his skin had a yellow tint to it and his temperature was elevated
Which reaction might this patient be experiencing?
a. Delayed hemolytic transfusion reaction
b. Acute hemolytic transfusion reaction
c. Nonhemolytic febrile reaction
d. Severe allergic transfusion reaction
A
Symptoms of a delayed hemolytic reaction usually begin 2 to 14 days after the transfusion and include unexplained fever, unexplained decrease in Hgb/Hct, increased bilirubin levels, and jaundice. Symptoms of an acute hemolytic reaction usually begin within 15 minutes of transfusion initiation and include severe pain in the kidney area and chest, increased temperature (up to 105? F), increased heart rate, and increased sensation of heat and pain along the vein receiving blood, as well as chills, low back pain, headache, nausea, chest or back pain, chest tightness, dyspnea, bronchospasm, anxiety, hypotension, vascular collapse, disseminated intravascular coagulation, and possibly death. Symptoms of a nonhemolytic febrile reaction begin between 30 minutes after initiation and 6 hours after completion of transfusion and include fever greater than 1? C above baseline, flushing, chills, headache, and muscle pain; they occur most frequently in immunosuppressed patients. Symptoms of an acute severe allergic reaction usually begin within 5 to 15 minutes of initiation of transfusion and include coughing, nausea, vomiting, respiratory distress, wheezing, hypotension, loss of consciousness, and possible cardiac arrest.
You might also like to view...
A nurse notices a particular nursing intervention is not successful in helping patients achieve their health care goals and decides to study the issue. What should the nurse do first?
1. Identify the problem. 2. Design the sampling plan. 3. Conduct a literature review. 4. Conduct a pilot study.
A family is open to interaction with the community. The information this family receives from the community is considered
a. input c. output b. throughput d. feedback
A client arrives at the clinic reporting diarrhea and flu-like symptoms. On questioning, the client tells the nurse about a family gathering she attended recently where she had some smoked seafood
Which foodborne illness should the nurse most suspect in this client? A) Campylobacter B) Listeria monocytogenes C) Salmonella D) Escherichia coli O157:H7
The nurse reinforced teaching for a patient awaiting a heart transplant. Which statements indicate that the patient understands the usual criteria used for a potential heart donor? (Select all that apply.)
a. Age less than 55 years b. No hypertension or diabetes c. Absence of malignant disease d. Presence of no active infections e. Presence of no significant cardiac disease f. Weight within 35 lb of prospective recipient