MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A nurse cares for a client with myelodysplastic syndrome who requires frequent PRBC transfusions. What blood component does the nurse recognize as being most harmful if accumulated in the tissues due to chronic blood transfusions?
A
Iron
B
Potassium
C
Hemoglobin
D
Calcium
Explanation: 

Detailed explanation-1: -What blood component does the nurse recognize as being most harmful if accumulated in the tissues due to chronic blood transfusions? Iron Explanation: Iron overload is a complication unique to people who have had long-term PRBC transfusion.

Detailed explanation-2: -Patients with myelodysplastic syndrome (mds) experience clinical complications related to progressive marrow failure and have an increased risk of developing acute myeloid leukemia. Frequent red blood cell transfusion can lead to clinical iron overload and is associated with decreased survival in mds patients.

Detailed explanation-3: -Transfusion overload may happen if a person gets more blood than needed. It can cause shortness of breath and other symptoms. The symptoms usually happen within a few hours to a day. It’s more common in people with heart problems.

Detailed explanation-4: -Transfusion of PRBCs is indicated to provide additional oxygen-carrying capacity and expansion of volume. Packed cells are most commonly used to treat acute hemorrhage and anemia that is not amenable to nutritional correction.

Detailed explanation-5: -NYU Langone doctors may use blood transfusions to help relieve symptoms in people who have myelodysplastic syndromes characterized by low red blood cell or platelet levels. Transfusions of red blood cells can help manage the fatigue and weakness associated with anemia.

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