A patient develops itching and scattered urticaria during a blood transfusion but has no breathing difficulty or hypotension. Which reaction is most likely?
Correct answer: A. Mild allergic transfusion reaction
- A. Mild allergic transfusion reaction
- B. Acute haemolytic transfusion reaction
- C. Febrile non-haemolytic reaction
- D. Circulatory overload reaction
Explanation
Itching and urticaria without respiratory or circulatory compromise are typical of a mild allergic reaction to plasma proteins. The transfusion should be stopped and the patient assessed, because progression to airway compromise requires urgent treatment.
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About IV Fluids and Blood Transfusion
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
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