Transfusion, Observations, Adverse Reactions and Care of the Patient
Transcript of Transfusion, Observations, Adverse Reactions and Care of the Patient
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TRANSFUSI ON OBSERVATI ONS, ADVERSE
REACTI ONS AND CARE OF THE PATI ENT
Karen MeadSpecialist Practitioner of Transfusion
North Bristol NHS Trust
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WHY DO WE TAKE OBSERVATI ONS DURI NG A BLOOD COMPONENT
TRANSFUSI ON?
Administration problems
Febrile reaction (<24 hrs)
Allergic reaction (<24 hrs)
Acute haemolytic reaction (<24 hrs)
Bacterial contamination
Transfusion-associated circulatory overload
Transfusion-related acute lung injury
Delayed haemolytic reaction (>24 hours)
Post- transfusion purpura
Transfusion-associated graft-versus-host disease
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HOW DO THI NGS GO WRONG?
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WHEN DO WE CARRY OUT OBSERVATI ONS?
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WHI CH OBSERVATI ONS DO WE DOCUMENT?
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WHAT SI GNS AND SYMPTOMS SHOULD WE BE LOOKI NG FOR?
Patient feeling feverish, hot and clammy
Shivering or cold chills
Breathing problems
Extreme tiredness
Passing much less, very dark or blood in the urine
Swelling
Itchy skin rash
Pain in the lower back (loin pain)
Unexpected or unexplained bruising
Jaundice (yellow colour in whites of eyes or skin)
Nausea or vomiting
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WHAT SHOULD HAPPEN I F YOUR PATI ENT
I S HAVI NG A SUSPECTED REACTI ON?
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MANAGEMENT OF ACUTE TRANSFUSI ON REACTI ONS
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I NFORMATI ON FOR TRANSFUSED DAY CASE PATI ENTS
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KEY POI NTS TO REMEMBER
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ANY QUESTI ONS?
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REFERENCES
Norfolk D. (2013) Handbook of Transfusion Medicine. 5th edition, London: Published by Stationary Office. Available at http://www.transfusionguidelines.org.uk
British Committee for Standards in Haematology (BCSH) Blood Transfusion Task Force (2012) Guideline on the investigation and management of acute transfusion reactions. Available at: http://www.bcshguidelines.com/