|
Type of Reaction |
Symptoms and Signs |
|
Febrile |
|
|
Circulatory Overload |
- Increase in blood pressure, heart rate and respirations.
- Pulmonary oedema, dyspnoea, increase in
urinary output
|
|
Allergic |
- Urticaria, facial oedema,
dyspnoea, hypotension
|
|
Haemolytic |
- Collapse with hypotension.
- Shock, pyrexia, rigors, haemoglobinuria, haemoglobinaemia, oliguria,
later uraemia.
|
|
Infected Blood |
- Pyrexia, profound collapse
and shock, pallor, dyspnoea, low blood pressure, rapid pulse.
|
|
Step |
Action |
| 1 |
STOP THE TRANSFUSION IMMEDIATELY. |
| 2 |
The Nurse contacts
the Doctor/NS-ANP immediately the
baby manifests any sign of reaction. |
| 3 |
Babies vital signs
must be recorded and documented. |
| 4 |
Maintain patency
of cannula using a new giving set and 0.9% sodium chloride. |
| 5 |
Check label and
recipient ID information is correct. |
| 6 |
Send
NZBS Notification and Investigation of Adverse
Transfusion form and the blood product with
IV giving set attached in a plastic bag to the Blood Bank
immediately
to allow investigation of the cause of the reaction. |
| 7 |
Notify Blood Bank
by phone; discuss urgency of follow-up tests and further transfusion needs. |
| 8 |
Take a sample of
baby’s blood (from a different vein). Blood group serology and EDTA –
in purple top tube - send to Blood Bank. FBC + serum biochemistry. |
| 9 |
Consider need for
blood cultures is sepsis suspected. Blood gases if respiratory
distress present. Urine check for haemoglobinuria. Coagulation
screen if bleeding. |
| 10 |
Parents of baby
are informed. |
