An interdisciplinary team has been commissioned to create policies and procedures aimed at preventing acute hemolytic transfusion reactions. What action has the greatest potential to reduce the risk of this transfusion reaction?
A) Ensure that blood components are never infused at a rate greater than 125 mL/hr.
B) Administer prophylactic antihistamines prior to all blood transfusions.
C) Establish baseline vital signs for all patients receiving transfusions.
D) Be vigilant in identifying the patient and the blood component.
Ans: D
Feedback:
The most common causes of acute hemolytic reaction are errors in blood component labeling and patient identification that result in the administration of an ABO-incompatible transfusion. Actions to address these causes are necessary in all health care settings. Prophylactic antihistamines are not normally administered, and would not prevent acute hemolytic reactions. Similarly, baseline vital signs and slow administration will not prevent this reaction.
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