MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is administering a blood transfusion to a patient over 4 hours. After 2 hours, the patient reports chills and has a fever of 101
A
The patient is having an allergic reaction to the blood.
B
The patient is experiencing vascular collapse.
C
The patient is having a decrease in tissue perfusion from a shock state.
D
The patient is having a febrile nonhemolytic reaction.
Explanation: 

Detailed explanation-1: -Blood components must be transfused within 4 hours of issue. If the transfusion is interrupted for any reason, administration must be discontinued after 4 hours even if the transfusion is not complete.

Detailed explanation-2: -Intravenous immunoglobulin (IVIG) is only compatible with D5W. All blood products taken from the blood bank must be hung within 30 minutes and administered (infused) within 4 hours due to the risk of bacterial proliferation in the blood component at room temperature.

Detailed explanation-3: -Developing a fever after a transfusion is not serious. A fever is your body’s response to the white blood cells in the transfused blood. However, it can be a sign of a serious reaction if the patient is also experiencing nausea or chest pain.

Detailed explanation-4: -Any adverse reaction to the transfusion of blood or blood products should be reported to the patient’s treating doctor and to the hospital blood bank as soon as possible. Speed is essential because of the possible life-threatening nature of acute transfusion reactions.

There is 1 question to complete.