The Intern At Work: Internal Medicine 52. Transfusion without Confusion – a Practical Guide to Transfusion Medicine (Part 2)
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Mar 29, 2020 In this engaging discussion, Grace Zhang, an internal medicine resident and writer, shares her insights on transfusion medicine. She dives into the complexities of acute and delayed transfusion reactions, explaining symptoms like fever and TACO. Grace emphasizes the crucial steps for managing these reactions, detailing the importance of halting transfusions, calling for help, and preserving evidence for the blood bank. This practical guide is essential for any medical professional looking to enhance their transfusion care skills.
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Immediate Steps for Suspected Reactions
- Stop the transfusion immediately if a reaction is suspected and confirm patient and blood product identity.
- Keep the blood bag and tubing for the blood bank's investigation and report the reaction promptly.
Allergic Reactions in Transfusion
- Allergic reactions are the most common acute transfusion event and are more frequent with platelet and plasma products.
- Mild allergic reactions involve localized rash and are treated with antihistamines; transfusion can continue if stable.
Managing Severe Allergic Reactions
- In case of anaphylactic reaction, provide supportive treatment including antihistamines, steroids, and epinephrine.
- Consult critical care specialists promptly for severe reactions with airway or hemodynamic compromise.