Bedeiry 1
This case study talks about a male trauma patient aged 36 years who was transported to a health care facility for emergency surgery. A sample was taken to the blood bank for pre-transfusion testing; including type and antibody screen and crossmatch for six units of PRBCs. After the units were issued to the OR, the patient received five compatible units of RBCs. After the infusion of about 100mL of the sixth unit, the transfusion stopped because the patient became hypotensive. The surgery was then completed without any further transfusions. The patient was then transferred to the ICU for recovery and then it was observed that the patient exhibits characteristics that indicate acute transfusion hemolytic reaction. The expression …show more content…
The post-transfusion samples also showed a mixed ABO group that should have caused incompatibility with the recipient's ABO group. The reaction occurred following the error in one of the six units. The transfusion of the sixth unit was barely 100ml when the reaction occurred.
The patient may complain of feeling nausea, abdominal and chest pain, chills, flushing and pain at the site of venipuncture. These subjective symptoms may be compounded by the presence of signs including fever, hemoglobinuria, haemoglobinemia, respiratory distress, hypotension or tachycardia. Other than these symptoms, the patient may also present with back pain and hypertension. In this case, the 36-year-old patient shows hypotension and haemoglobinemia that are evident signs of a hemolytic reaction. The acute hemolytic reaction is usually characterized by chills, fever and feeling of heat in the vein that the transfusion is performed. These symptoms are accompanied by life-threatening tachycardia, hypotension, hemoglobinuria, and hypotension. The complementary role of both the reverse and forward grouping is helpful in enhancing proper blood examination of blood samples. Although the patient and the recipient may have the same ABO blood grouping, the Rhesus factor should also be taken into
This case study talks about a male trauma patient aged 36 years who was transported to a health care facility for emergency surgery. A sample was taken to the blood bank for pre-transfusion testing; including type and antibody screen and crossmatch for six units of PRBCs. After the units were issued to the OR, the patient received five compatible units of RBCs. After the infusion of about 100mL of the sixth unit, the transfusion stopped because the patient became hypotensive. The surgery was then completed without any further transfusions. The patient was then transferred to the ICU for recovery and then it was observed that the patient exhibits characteristics that indicate acute transfusion hemolytic reaction. The expression …show more content…
The post-transfusion samples also showed a mixed ABO group that should have caused incompatibility with the recipient's ABO group. The reaction occurred following the error in one of the six units. The transfusion of the sixth unit was barely 100ml when the reaction occurred.
The patient may complain of feeling nausea, abdominal and chest pain, chills, flushing and pain at the site of venipuncture. These subjective symptoms may be compounded by the presence of signs including fever, hemoglobinuria, haemoglobinemia, respiratory distress, hypotension or tachycardia. Other than these symptoms, the patient may also present with back pain and hypertension. In this case, the 36-year-old patient shows hypotension and haemoglobinemia that are evident signs of a hemolytic reaction. The acute hemolytic reaction is usually characterized by chills, fever and feeling of heat in the vein that the transfusion is performed. These symptoms are accompanied by life-threatening tachycardia, hypotension, hemoglobinuria, and hypotension. The complementary role of both the reverse and forward grouping is helpful in enhancing proper blood examination of blood samples. Although the patient and the recipient may have the same ABO blood grouping, the Rhesus factor should also be taken into