Intravascular hemolytic tranfusion reaction: Difference between revisions
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===Intravascular Hemolytic Tranfusion Reaction=== | |||
*Occurs due to ABO incompatibility | |||
*Diagnosis | |||
**Back pain, headache, hypotension, dyspnea, pulmonary edema, bleeding, renal failure | |||
**Labs c/w hemolysis | |||
*Treatment | |||
**Stop transfusion | |||
**Replace all tubing | |||
***Risk of death is proportional to amount of incompatible blood received | |||
**Maintain urine output with IVF (1-2 mL/kg/hr), mannitol, and furosemide as needed | |||
**Treat shock with volume and vasopressors | |||
**Treat coagulopathy w/ FFP | |||
Revision as of 20:46, 4 February 2016
Background
Clinical Features
Differential Diagnosis
Transfusion Reaction Types
- Acute
- Delayed
Diagnosis
Management
Disposition
See Also
External Links
References
Intravascular Hemolytic Tranfusion Reaction
- Occurs due to ABO incompatibility
- Diagnosis
- Back pain, headache, hypotension, dyspnea, pulmonary edema, bleeding, renal failure
- Labs c/w hemolysis
- Treatment
- Stop transfusion
- Replace all tubing
- Risk of death is proportional to amount of incompatible blood received
- Maintain urine output with IVF (1-2 mL/kg/hr), mannitol, and furosemide as needed
- Treat shock with volume and vasopressors
- Treat coagulopathy w/ FFP