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Transfusion reactions - Coggle Diagram

- - - - respiratory distress:
        CXR, no infiltrates, hemolysis
        
        acute hemolytic transfusion reaction:
        supportive care
        check cbc, tbili, BUN/creat, BP, PT/PTT
      - check
        blood unit
        compatibility
        
        compatible
        
        infection?: check blood smear, blood culture, start broad spec abx
        
        incompatible
    - - ongoing
        hemorrhage
        
        give more blood,
        mntr citrate toxicity
      - Respiratory distress
        (<SpO2, >RE, tachypnea)
        
        Give O2, 1 dose lasix, CXR, tPOCUS
        
        CXR infiltrates
        
        Normal LA:Ao:
        r/o TRALI vs pneumonia vs hemorrhage
        
        d/c lasix, continue O2, BP mntring,
        +/- vent/high flow O2
        
        high LA:Ao: TACO-
        give lasix, O2 BP+RR/RE monitoring
        
        No CXR infiltrates:
        continue supportive care for dyspnea
      - no
        hemorrhage
        
        if hypotension w/no anaphylaxis: STOP transfusion;
        supportive care/BP support
      - Vomiting
        
        allergic reaction, no anaphylaxis
        
        benadryl, restart/slow transfusion
        
        No allergic reaction
        
        cerenia, restart transfusion
        
        if anaphylaxis: STOP transfusion benadryl Epi CRI
      - Fever
        
        hemodyn stable:
        FNHR: slow transfusion give benadryl