Which action should be performed to avoid the most common cause of fatal transfusion reactions?

Before starting a blood transfusion the nurse will perform a verification process with __________. This will include?

A. any available personnel; physician's order, patient's identification, blood bank's information, expiration date of blood

B. licensed personnel only (another RN); physician's order, patient's identification, blood bank's information, patient's blood type and donor's type along with Rh factor, expiration date, assess the bag of blood for damage or abnormal substances

C. blood bank; patient's identification, blood bank's information, patient's blood type and donor's type along with Rh factor, expiration date, bag of blood for damage or abnormal substances

D. licensed personnel only (another RN); blood compatibility, physician order, expiration date

What is the most common cause of fatal transfusion reactions?

TRALI: Although uncommon, TRALI has been the most frequent cause of acute transfusion fatality reported to the US Food and Drug Administration (FDA), accounting for 26% of deaths in fiscal years 2013 through 2018 and 13% in 2018.

How do you prevent a reaction to a blood transfusion?

The most common approach to preventing FNHTR and allergic reactions is to give the patient premedication with an antipyretic such as paracetamol and an anti-histamine such as diphenydramine. There is very widespread use of these drugs prior to a transfusion.

What is the first action that should be taken if a transfusion reaction is suspected?

When a transfusion reaction is suspected, the transfusion should be immediately stopped, and the intravenous line should be kept open using appropriate fluids (usually 0.9% saline). A clerical check should be performed by examining the product bag and confirming the patient's identification.