College

We appreciate your visit to A client receiving a transfusion of packed red blood cells PRBCs begins to vomit The client s blood pressure is 90 50 mm Hg from. This page offers clear insights and highlights the essential aspects of the topic. Our goal is to provide a helpful and engaging learning experience. Explore the content and find the answers you need!

A client receiving a transfusion of packed red blood cells (PRBCs) begins to vomit. The client's blood pressure is 90/50 mm Hg from a baseline of 125/78 mm Hg. The client's temperature is 100.8º F (38.2º C) orally from a baseline of 99.2º F (37.3º C) orally.

The nurse determines that the client may be experiencing which complication of a blood transfusion?

a. Hemolytic reaction
b. Febrile non-hemolytic reaction
c. Anaphylactic reaction
d. Septic reaction

Answer :

Final answer:

The client is likely experiencing a hemolytic reaction to the blood transfusion, marked by symptoms such as vomiting, lowered blood pressure, and increased temperature, which can lead to circulatory shock and severe complications.

Explanation:

The client receiving a transfusion of packed red blood cells (PRBCs) who begins to vomit, with a lowered blood pressure from 125/78 mm Hg to 90/50 mm Hg, and a temperature rise from 99.2º F (37.3º C) to 100.8º F (38.2º C), may be experiencing a hemolytic reaction, which is a serious and potentially life-threatening complication of a blood transfusion.

A hemolytic reaction can occur if the client receives a transfusion with an incompatible ABO or Rh blood type. In this situation, the client's immune system mounts an attack against the transfused red blood cells (RBCs), leading to their destruction. This response is characterized by fever, chills, itching, hives, dyspnea (difficulty in breathing), hemoglobinuria (hemoglobin in the urine), and hypotension (low blood pressure), which can lead to circulatory shock and, in severe cases, multi-organ failure and death.

Thanks for taking the time to read A client receiving a transfusion of packed red blood cells PRBCs begins to vomit The client s blood pressure is 90 50 mm Hg from. We hope the insights shared have been valuable and enhanced your understanding of the topic. Don�t hesitate to browse our website for more informative and engaging content!

Rewritten by : Barada