Select the appropriate treatment for the following transfusion reactions

A. Encouraging frequent ambulation is not appropriate during a vaso-occlusive crisis, as it can exacerbate pain and further compromise blood flow.

B. While monitoring the RBC count is important, it is not the most immediate intervention during a crisis. The focus should be on managing pain and preventing complications.

C. Treating the client in an outpatient setting is inappropriate during a vaso-occlusive crisis, which typically requires inpatient care for effective pain management and hydration.

D. Maintaining IV fluids, administering pain medications, and providing supplemental oxygen are critical interventions that address the acute needs of the client in crisis, aiming to alleviate pain and improve oxygenation.

• Hemolytic Reaction:
  • Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.
  • Send the blood bag back to the blood bank for analysis: To identify the cause of the reaction and prevent future similar incidents.
  • Stop blood infusion: To prevent further hemolysis.
• Anaphylactic Reaction:
  • Stop blood infusion: To prevent further exposure to the allergen.
  • Administer epinephrine: To treat the severe allergic reaction and prevent anaphylactic shock.
  • Send the blood bag back to the blood bank for analysis: To identify the allergen and prevent future similar incidents.
  • Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.