Clotting practice questions
A nurse is assessing a client who is receiving a unit of packed red blood cells which of the following is manifestations of a acute hemolytic reaction? A. Patient reports low back pain. B. Patient reports tinnitus. C. A productive cough. D. Distended neck veins.
A. Patient reports low back pain. Manifestations of an acute hemolytic reaction include apprehension, tachypnea, hypotension, chest pain, and lower back pain. Tinnitus is a manifestation of ototoxicity and is an adverse effect of amino glycoside antibiotics A cough is a manifestation of circulatory overload. Distended neck veins are a manifestation of circulatory overload.
Today when I was getting a unit of blood, my nurse freaked out. About 30 minutes after they started the blood, my erythrocytes were being destroyed and I started having hemoglobin appear in my urine. Suddenly, I had a fever, chills, and nausea. It was even hard to breathe. As soon as the nurse stopped the transfusion, I started feeling better. I'm sure glad she did not restart it.
Acute hemolytic reaction
After my car wreck, they said I was anemic from bleeding so they gave me some blood. At first, it wasn't so bad but soon I was itching and red bumps popped up all over my body. They did stop the transfusion, gave me a pill and then restarted the blood. I did ok after the pill.
Allergic reaction
It's been about three hours since my platelet transfusion and I am starting to get chills and a fever. I also feel dizzy, like I'm going to pass out. The nurse has started an IVPB with zithromycin and gave me an IV push of solu-medrol.
Bacterial contamination.
A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? A. Neutropenic B. Bleeding C. Contact D. Droplet
B. Bleeding precautions for a child who has low platelet counts. The nurse should initiate neutropenic precautions for a child with a low WBC level. The nurse should implement contact precautions for a child who has an illness that is transmitted through direct contact. The nurse should implement contact precautions for a child who has an illness transmitted through large particle droplets.
While I was receiving my second unit of PRBC's today, I got really short of breath and could barely catch my breath. This made me really anxious. The nurse started taking my vital signs and even looked at my neck for a long time. I heard the nurse say, "I hear bilateral crackles" to another nurse. At first, the nurse stopped the transfusion, but when I was able to catch my breath, they restarted it, just at a slower rate.
Circulatory overload
Last week I had a transfusion of platelets. This week I feel tired and my skin is looking yellowish. I took my temperature and it was 101 degrees Fahrenheit so I guess I should call my doctor and tell them how I feel.
Delayed hemolytic reaction
1. While being infused with two units of PRBC's, my antibodies started causing trouble for me. I was shivering and acting like I was cold. After taking my vital signs, im not having a hemolytic reaction but im reacting to something. The type reaction I am having is NOT life threatening, but you may be miserable for a little while. It looks like my temp has gone up 1.5 degrees Celsius.
Febrile non-hemolytic reaction
A nurse remains with a patient to observe for any adverse reactions after initiating a transfusion of packed RBCs. The patient becomes apprehensive and tachycardic, reporting headache and low back pain. The nurse should recognize these findings indicate which transfusion reaction?
Hemolytic. In addition to tachycardia, headache, and low back pain, hemolytic reaction can also cause fever, chills, hypertension, possible chest pain, and hemoglobinuria.
I had received some fresh frozen plasma yesterday morning and by 10:00 PM, I could not breathe and my oxygen saturation was at 88%. The nurses started scrambling and reported to the doctor that my temp was 102.5 degrees Fahrenheit, and that they would like to get a chest x-ray to look for "infiltrates."
Transfusion-related acute lung injury
