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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
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This reaction may cause cardiovascular collapse, kidney failure, disseminated intravascular coagulation, shock, and death
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Acute hemolytic
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Clinical findings include chills, fever, flushing, headache, and anxiety. (Lecture: tachycardia, hypotension and tachypnea)
30 min to 6 hr after transfusion |
Febral
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Tx: Use WBC filter Administer antipyretics
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Febrile
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Clinical findings include itching, urticaria, and flushing.
From transfusion to 24 hrs after |
Allergic
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Tx; Administer antihistamines, such as diphenhydramine (Benadryl)
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Allergic
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Immedate reaction.
Clinical findings include wheezing, dyspnea, chest tightness, cyanosis, and hypotension. |
Anaphylactic
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Tx: Maintain airway; administer oxygen, IV fluids, antihistamines, corticosteroids, and vasopressors
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Anaphylactic
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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
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Tx: Administer oxygen, monitor vital signs, slow the infusion rate, and administer diuretics
as prescribed |
circulatory overload
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Manifestations include fever, nausea, vomiting, abdominal pain, chills, and hypotension
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Septis/septic shock (Bacteria?)
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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?)
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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
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Excessive blood loss (Hgb 6 to 10 g/dL, depending on findings)
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– whole blood
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Anemia (Hgb 6 to 10 g/dL, depending on findings)
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– packed RBCs
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Kidney failure
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– packed RBCs
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Coagulation factor deficiencies such as hemophilia –
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fresh frozen plasma
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Thrombocytopenia/platelet dysfunction (platelets less than 20,000 or less than 80,000 and
actively bleeding) |
– platelets
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