Sample interview questions: How do you handle patients who require intraoperative blood transfusion reactions?
Sample answer:
Managing Patients Requiring Intraoperative Blood Transfusion Reactions
Assessment and Recognition:
- Monitor vital signs closely, especially blood pressure, heart rate, temperature, and oxygen saturation.
- Observe for signs of transfusion reaction, such as fever, chills, shortness of breath, hypotension, or tachycardia.
- Check the patient’s blood type and crossmatch carefully before administering blood.
Immediate Intervention:
- Stop the transfusion immediately and notify the surgeon and anesthesiologist.
- Administer oxygen as prescribed.
- Monitor vital signs continuously and provide appropriate support measures (e.g., fluids, pressors).
- Monitor urine output and conduct laboratory tests (e.g., hemoglobin, hematocrit, bilirubin) to assess for potential complications.
Management of Specific Reactions:
- Febrile nonhemolytic transfusion reaction: Administer antipyretics (e.g., acetaminophen) and continue the transfusion at a slower rate.
- Hemolytic transfusion reaction: Stop the transfusion and contact the blood bank. Administer IV fluids to maintain hydration and monitor for shock.
- Anaphylactic reaction:… Read full answer
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