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Select the appropriate treatment for the following transfusion reactions

A.

Administer 0.9% sodium chloride

B.

Send the blood bag back to the blood bank for analysis.

C.

Stop blood infusion

D.

Administer epinephrine

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

  • Hemolytic Reaction:
    • Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.
    • Send the blood bag back to the blood bank for analysis: To identify the cause of the reaction and prevent future similar incidents.
    • Stop blood infusion: To prevent further hemolysis.
  • Anaphylactic Reaction:
    • Stop blood infusion: To prevent further exposure to the allergen.
    • Administer epinephrine: To treat the severe allergic reaction and prevent anaphylactic shock.
    • Send the blood bag back to the blood bank for analysis: To identify the allergen and prevent future similar incidents.
    • Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.


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Related Questions

Correct Answer is B

Explanation

A. Distended jugular veins may indicate fluid overload or congestive heart failure, not an allergic reaction.

B. Generalized urticaria, or hives, is a classic sign of an allergic transfusion reaction, presenting as an itchy rash or welts on the skin.

C. Bilateral flank pain is more indicative of a hemolytic reaction, particularly due to kidney involvement, rather than an allergic reaction.

D. A blood pressure of 184/92 mm Hg may suggest hypertension or a reaction, but it is not specific to allergic transfusion reactions, which are characterized by skin symptoms like urticaria.

Correct Answer is A

Explanation

A. Ensuring the blood is compatible with the client's blood type is critical in preventing an acute hemolytic reaction, as incompatible blood transfusions can cause serious, potentially life-threatening reactions.

B. Administering the transfusion rapidly can increase the risk of complications and does not prevent hemolytic reactions; transfusions should be given at a safe rate based on the client's condition.

C. Using a blood warmer is not a standard intervention to prevent hemolytic reactions; it's typically used in specific cases such as massive transfusions or hypothermia, but it does not address compatibility.

D. Administering prophylactic antihistamines is not a recommended practice to prevent hemolytic reactions; it is more relevant for preventing allergic reactions associated with transfusions.

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