lef5501 Posted November 8, 2016 Share Posted November 8, 2016 How far out from a transfusion would you perform a reaction workup for a fever? We had a transfusion where vials were fine throughout the transfusion, including a normal temp on the post 15 minute vitals. Almost wo hours later when they did baseline vials for the second unit, the temp had increased from 98.7 (1st unit post temp @1845) to 101.2. (Second unit baseline @2015 .) Would you have performed the workup, told them fever wasn't related, etc. There were no othere symptoms present and the bag had already been discarded so nothing left to culture. Link to comment Share on other sites More sharing options...
Teristella Posted November 8, 2016 Share Posted November 8, 2016 We would have done it, but they would have dug that bag out of the trash! We had a similar situation recently but it was only an hour between units. Of course in that situation they complicated things by spiking the second unit, taking vitals and deciding to report a transfusion reaction and using the DIN of the second unit for everything... Link to comment Share on other sites More sharing options...
Dansket Posted November 8, 2016 Share Posted November 8, 2016 If they report it, investigate it. It the time frame is extreme, pathologist should put a note on the patient's chart. BankerGirl, dragonlady97213 and AMcCord 3 Link to comment Share on other sites More sharing options...
David Saikin Posted November 9, 2016 Share Posted November 9, 2016 Ive had MDs order TRALI workups 2 days after rbc transfusions . . . Link to comment Share on other sites More sharing options...
MAGNUM Posted November 9, 2016 Share Posted November 9, 2016 We work them ALL up! If the patient has a reaction either immediate or delayed we work them up. We took the thought process out of the picture for the nurses, if they suspect a reaction (and we do provide them with a chart of reactions and how they may present) they order it. They can call the patient's physician, but we wrote it into our policy and had it approved by our MEC to order it if they feel a reaction is happening. AMcCord and Marianne 2 Link to comment Share on other sites More sharing options...
TreeMoss Posted November 9, 2016 Share Posted November 9, 2016 If a reaction gets reported, we work it up. We let the pathologist decide if it was a significant reaction. anne Link to comment Share on other sites More sharing options...
galvania Posted November 10, 2016 Share Posted November 10, 2016 Two hours later does not seem extreme to me - depending on the state of the patient. But was 98.7 not high already? Sorry - can't remember normal values in °F Link to comment Share on other sites More sharing options...
mollyredone Posted November 10, 2016 Share Posted November 10, 2016 98.6 F=37 C, so it's basically a normal temp to start. Link to comment Share on other sites More sharing options...
David Saikin Posted November 11, 2016 Share Posted November 11, 2016 On 11/9/2016 at 9:55 AM, TreeMoss said: If a reaction gets reported, we work it up. We let the pathologist decide if it was a significant reaction. anne we do also Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now