MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is administering packed RBC transfusions for a patient with MDS. The patient has had several transfusions and is likely to receive several more. Which is a pri. ority for the nurse to monitor related to the transfusions?
A
Creatinine and blood urea nitrogen (BUN)levels
B
Iron levels
C
Magnesium levels
D
Potassium levels
Explanation: 

Detailed explanation-1: -Expert Video-How often could I need a blood transfusion for MDS-related anemia? MDS experts, Dr Rafael Bejar and Dr Casey O’Connell describe how often a patient might need a blood transfusion for MDS-related anemia. Generally, two units of packed red blood cells (RBCs) can last a patient for four weeks.

Detailed explanation-2: -Acute Immune Hemolytic Reaction The attack triggers a release of a substance that damages the kidneys. This is often the case when the donor blood is not a proper match with the patient’s blood type. Symptoms include nausea, fever, chills, chest and lower back pain, and dark urine.

Detailed explanation-3: -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.

There is 1 question to complete.