QuestionSBA
QuestionChoice
This patient is experiencing transfusion-associated circulatory overload, evidenced by her shortness of breath and signs of pulmonary oedema as well as hypertension and widened pulse pressure. This is best managed by slowing the blood transfusion and concurrently giving furosemide.
10003696
a
Slow transfusion + give furosemide
QuestionChoice
This patient is experiencing transfusion-associated circulatory overload, evidenced by her shortness of breath and signs of pulmonary oedema as well as hypertension and widened pulse pressure. This answer choice would work if the patient was experiencing an allergic reaction to the transfusion.
10003697
b
Stop the transfusion + give saline, adrenaline, chlorphenamine, and hydrocortisone
QuestionChoice
This patient is experiencing transfusion-associated circulatory overload, evidenced by her shortness of breath and signs of pulmonary oedema as well as hypertension and widened pulse pressure. This answer choice would work if the patient was experiencing a febrile non-haemolytic transfusion reaction.
10003698
c
Slow the transfusion + give paracetamol
QuestionChoice
This patient is experiencing transfusion-associated circulatory overload, evidenced by her shortness of breath and signs of pulmonary oedema as well as hypertension and widened pulse pressure. The transfusion should not be stopped; it should be slowed and a loop diuretic like furosemide should be administered to combat the symptoms of fluid overload.
10003700
e
Stop the transfusion
QuestionChoice
This patient is experiencing transfusion-associated circulatory overload, evidenced by her shortness of breath and signs of pulmonary oedema as well as hypertension and widened pulse pressure. Whilst slowing the transfusion is correct, the patient's fluid overload should be managed using a loop diuretic. Indapamide is a thiazide-like diuretic which has no role in managing this transfusion reaction.
10003699
d
Slow the transfusion + give indapamide
Concept
Chapter
2693
4190
Complications of blood transfusions
Topic
157
Haematology
13286
A 51-year-old woman experiences shortness of breath and feelings of chest tightness following the administration of 1 unit of blood.

On examination, she is tachypnoeic, tachycardic, and has an audible wheeze at her lung bases. Her blood pressure is 180/110.

What is the best course of management for this transfusion reaction?
a