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A patient is undergoing blood transfusion and suddenly shows complaints of transfusion reaction. What will be the priority nursing intervention?
Question

A patient is undergoing blood transfusion and suddenly shows complaints of transfusion reaction.
What will be the priority nursing intervention?

A.

Stop the infusion and remove the cannula

B.

Stop the infusion and flush with NS

C.

Complete the transfusion and administer injection Avil

D.

Complete the transfusion and discard the bag

Correct option is B

· Stop the infusion and remove the cannula: While stopping the transfusion is correct, removing the cannula prematurely is not advised because it may be needed for administering emergency medications or fluids.
· Stop the infusion and flush with NS: This is the correct intervention. The transfusion should be stopped immediately, and the line flushed with normal saline to prevent further reaction while maintaining IV access for medications or further management.
· Complete the transfusion and administer injection Avil: Completing the transfusion is inappropriate as the reaction indicates a serious issue, and stopping the transfusion is crucial. Administering medication comes after stopping the transfusion.
· Complete the transfusion and discard the bag: Completing the transfusion is unsafe. Additionally, the bag and tubing should be retained for testing and investigation of the reaction.
Additional Information:
· Prevention:
· Administration of premedication like antipyretic (paracetamol) and anti-histamine
· (Diphenhydramine) as per doctor's order.
· Do patient identification, blood products verification properly prior to transfusion

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