Clinical case #1

Presentation

 
©iStockphoto/AnthonyTX  

A 25-year-old man is transfused with one unit of RBCs following a motor vehicle accident during which he suffered internal bleeding. Five minutes into the transfusion, he becomes anxious and begins to complain of chills, chest pain and a burning sensation at the IV site. It is noted that his temperature is rising and his urine is turning pink.

This clinical case will be revisited later in the module. For now, consider the following questions, drawing from your readings and your background knowledge:
  • What type of transfusion reaction do you think has occurred?
  • What is the most common cause of this complication?
  • What is the appropriate treatment?