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18 Cards in this Set

  • Front
  • Back
may be mild or life-threatening. Immediate
Clinical findings include: chills, fever, low back pain, tachycardia, flushing, hypotension, chest tightening or pain, tachypnea, nausea, anxiety, and hemoglobinuria
Acute hemolytic
This reaction may cause cardiovascular collapse, kidney failure, disseminated intravascular coagulation, shock, and death
Acute hemolytic
Clinical findings include chills, fever, flushing, headache, and anxiety. (Lecture: tachycardia, hypotension and tachypnea)

30 min to 6 hr after transfusion
Febral
Tx: Use WBC filter Administer antipyretics
Febrile
Clinical findings include itching, urticaria, and flushing.

From transfusion to 24 hrs after
Allergic
Tx; Administer antihistamines, such as diphenhydramine (Benadryl)
Allergic
Immedate reaction.
Clinical findings include wheezing, dyspnea, chest tightness, cyanosis, and hypotension.
Anaphylactic
Tx: Maintain airway; administer oxygen, IV fluids, antihistamines, corticosteroids, and vasopressors
Anaphylactic
Manifestations include dyspnea, chest tightness, tachycardia, tachypnea, headache, hypertension, jvd, peripheral edema, orthopnea, sudden anxiety, and
crackles in the base of the lungs.
(Lect: bounding pulse, restlessness and confusion)
circulatory overload
Tx: Administer oxygen, monitor vital signs, slow the infusion rate, and administer diuretics
as prescribed
circulatory overload
Manifestations include fever, nausea, vomiting, abdominal pain, chills, and hypotension
Septis/septic shock (Bacteria?)
TX: Maintain patent airway, and administer oxygen.
-Administer antibiotic therapy as prescribed
-Obtain samples for blood cultures.
-Administer vasopressors, such as dopamine, to combat vasodilation in the late phase.
-Elevate the client’s feet.
Septis/septic shock (Bacteria?)
Tx: Administer anticoagulants, such as heparin, in the early phase.
-Administer clotting factors and blood products during the late phase (clotting factors are
depleted in the early stage)
If disseminated intravascular coagulation (DIC) occurs
Excessive blood loss (Hgb 6 to 10 g/dL, depending on findings)
– whole blood
Anemia (Hgb 6 to 10 g/dL, depending on findings)
– packed RBCs
Kidney failure
– packed RBCs
Coagulation factor deficiencies such as hemophilia –
fresh frozen plasma
Thrombocytopenia/platelet dysfunction (platelets less than 20,000 or less than 80,000 and
actively bleeding)
– platelets