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Select the appropriate treatment for the following transfusion reactions

A.

Administer 0.9% sodium chloride

B.

Send the blood bag back to the blood bank for analysis.

C.

Stop blood infusion

D.

Administer epinephrine

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

  • 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.


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Related Questions

Correct Answer is ["117"]

Explanation

Infusion rate (mL/hr) = Volume to be infused (mL) / Time (hr)

In this case:

  • Volume to be infused = 350 mL
  • Time = 3 hours

Plugging the values into the formula:

  • Infusion rate = 350 mL / 3 hours = 116.67 mL/hr

Rounding to the nearest whole number, the infusion rate is 117 mL/hr.

Correct Answer is B

Explanation

A. Distended jugular veins may indicate fluid overload or congestive heart failure, not an allergic reaction.

B. Generalized urticaria, or hives, is a classic sign of an allergic transfusion reaction, presenting as an itchy rash or welts on the skin.

C. Bilateral flank pain is more indicative of a hemolytic reaction, particularly due to kidney involvement, rather than an allergic reaction.

D. A blood pressure of 184/92 mm Hg may suggest hypertension or a reaction, but it is not specific to allergic transfusion reactions, which are characterized by skin symptoms like urticaria.

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