Exam (elaborations)
PN3006 SKILLS INFO TEST
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PN3006 SKILLS INFO TEST...
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hemolytic reaction - ANSWER Occurs when there is destruction oftransfused red blood cells due to incompatibility (usually ABO mismatch)
onset minutes to hours
s/s:
fever
chills
back pain
dark urine
febrile reaction - ANSWER Non-hemolytic reaction caused by recipient
antibodies reacting to donor white blood cells.
onset usually minutes to hours
sometimes days to weeks after transfusion
s/s:
fever
chills
allergic reaction - ANSWER Mild reactions due to allergic response to
proteins in the transfused blood.
onset minutes to hours
s/s:
rash,
itching,
hives.
anaphylactic reaction - ANSWER Severe allergic reaction
often due to selective immunoglobulin A deficiency
onset minutes to hours
, s/s:
resp distress
hypotension
shock
circulatory overload (TACO) - ANSWER an excess in intravascular fluid
volume. causes pulmonary edema and resp distress. usually in pt with
heart or kidney conditions. can lead to heart failure.
onset minutes to hours
s/s:
crackles
HTN
sepsis - ANSWER Dangerous infection of the blood (blood transfusion
was infected)
onset minutes to hours
s/s:
high fever
chills
septic shock
transfusion related acute lung injury (TRALI) - ANSWER Leading cause
of transfusion related mortality
Non-cardiogenic pulmonary edema caused by donor antibodies reacting
with recipient's white cells
onset mins to hours
s/s:
acute resp distress
hypoxemia
don PPE order - ANSWER gown, mask, goggles, gloves
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