In: Nursing
What is hemolytic transfusion reaction? How do you ensure one does not occur?
HEMOLYTIC TRANSFUSION REACTION:-
-It is a serious complication that can occur after a blood
transfusion.
-it occurs when the red blood cells (RBCs)that were given during
the transfusion are destroyed by the person's immune system.
CAUSES:-
(i) Blood is classified into four different groups:- A, B, AB, and
O.
(ii) blood is classified in other different way based on Rh
factor:-
- Individual having Rh factors in their blood are called "Rh
positive."
- Individual without Rh factors are called "Rh negative."
- Rh negative people form antibodies against Rh factor if they
receive Rh positive blood.
(iii) Body's immune system can recognise its own blood cells from
those of another person.
- If an individual receive blood that is not compatible with his
blood, then his body produces antibodies to destroy the donor's
blood cells.
- This process causes the transfusion reaction.
SYMPTOMS:-
-Bloody urine
-back and flank pain
-fever and chills
-fainting or dizziness
- flushing of the skin
- shortness of breath.
COMPLICATIONS:-
-Acute kidney failure
-shock
-anaemia
-pulmonary edema
PREVENTION:-
- ABO blood group and Rh factor of both donor and recipient are
matched to prevent cross matching.
- A small amount of donor blood is mixed with a small amount of
recipient blood, then check the mixture under a microscope for
signs of antibody reaction.
- Double Check before transfusion to make sure that the recipient
is receiving the right blood.