During a transfusion, a patient develops a temperature rise and chills but has no back pain, dyspnoea, hypotension or dark urine. Which reaction is most likely?
Correct answer: A. Febrile non-haemolytic reaction
- A. Febrile non-haemolytic reaction
- B. Acute haemolytic reaction
- C. Mild allergic reaction
- D. Transfusion-associated circulatory overload
Explanation
Fever and chills without evidence of red-cell destruction are typical of a febrile non-haemolytic transfusion reaction. Acute haemolysis is more concerning for back or flank pain, dark urine and hypotension, while allergy mainly causes itching or urticaria.
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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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