A patient develops wheezing, facial swelling and falling blood pressure during a blood transfusion. Which nursing action has priority?
Correct answer: B. Stop the transfusion and support the airway
- A. Slow the transfusion and observe the patient
- B. Stop the transfusion and support the airway
- C. Give oral fluids and document the symptoms
- D. Restart the transfusion after changing the filter
Explanation
Wheezing, facial swelling and hypotension indicate a severe allergic or anaphylactic reaction, so the transfusion is stopped and airway and circulation are supported immediately. Airway and breathing take priority over documentation or restarting the blood.
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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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