MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient with chronic anemia has had many blood transfusions over the last 3 years.Which type of transfusion reaction will the nurse monitor for that is commonly found in patients who frequently receive blood transfusions?
A
Allergic reactions
B
Acute hemolytic reaction
C
Circulatory overload
D
Febrile nonhemolytic reactions
Explanation: 

Detailed explanation-1: -The most common immediate adverse reactions to transfusion are fever, chills and urticaria. The most potentially significant reactions include acute and delayed haemolytic transfusion reactions and bacterial contamination of blood products.

Detailed explanation-2: -Red blood cell (RBC) transfusions are a mainstay in the treatment of anemic patients, making it the most common medical procedure in hospitalized patients 1 . Most RBC transfusions (RBCT) are prescribed for patients with relatively low levels of hemoglobin (Hb) and only in controlled situations.

Detailed explanation-3: -Introduction. Today, the leading causes of allogeneic blood transfusion (ABT)–related mortality in the United States-in the order of reported number of deaths-are transfusion-related acute lung injury (TRALI), ABO and non-ABO hemolytic transfusion reactions (HTRs), and transfusion-associated sepsis (TAS).

Detailed explanation-4: -Stop the transfusion. Keep the I.V. line open with normal saline solution. Notify the physician and blood bank. Intervene for signs and symptoms as appropriate. Monitor the patients vital signs. 11-Apr-2010

There is 1 question to complete.