Five days after a blood transfusion, a patient develops fatigue, jaundice, and dark urine. Which complication is most likely?
Correct answer: A. Delayed haemolytic transfusion reaction
- A. Delayed haemolytic transfusion reaction
- B. Simple crystalloid infiltration
- C. Immediate allergic skin reaction
- D. Venous air embolism
Explanation
A delayed haemolytic transfusion reaction can occur several days after transfusion when antibodies destroy transfused red cells, causing jaundice and dark urine. An immediate allergic reaction usually causes itching or urticaria during or soon after the transfusion.
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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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