Hey #medicine residents !!
PLEASE TRANSFUSE BLOOD PRODUCTS JUDICIOUSLY ๐๐ป
Not every patient with anemia needs blood and not is blood transfusion free of complications.
I'll list out a few TRANSFUSION REACTIONS in case you'll have forgotten about them ๐๐ป
#MedTwitter
1/10
PLEASE TRANSFUSE BLOOD PRODUCTS JUDICIOUSLY ๐๐ป
Not every patient with anemia needs blood and not is blood transfusion free of complications.
I'll list out a few TRANSFUSION REACTIONS in case you'll have forgotten about them ๐๐ป
#MedTwitter
1/10
Let's start w/ TACO๐ฎ
This isn't the good Mexican ๐ฎ we love๐คฃ
This is pulmonary oedema resulting from overzealous transfusion๐คทโโ๏ธ
Risk factors: patients who can't handle fluids we'll, i.e. patients w/ kidney,heart disease etc
Totally avoidable complication๐๐ป
#MedTwitter
2/10
This isn't the good Mexican ๐ฎ we love๐คฃ
This is pulmonary oedema resulting from overzealous transfusion๐คทโโ๏ธ
Risk factors: patients who can't handle fluids we'll, i.e. patients w/ kidney,heart disease etc
Totally avoidable complication๐๐ป
#MedTwitter
2/10
A close differential of TACO is TRALI. The symptoms are the same but this is non-cardiogenic pulmonary oedema.
So BNP will be normal here, neck veins won't be dilated
TACO needs diuretics and some restraint on your part๐คฃ
TRALI=supportive care
#MedTwitter
3/10
So BNP will be normal here, neck veins won't be dilated
TACO needs diuretics and some restraint on your part๐คฃ
TRALI=supportive care
#MedTwitter
3/10
These are bad, but the worst is acute hemolytic transfusion reactions ๐ญ๐ญ
Can be fatal if not recognised & managed immediately๐ณ
Clinically: fever, dyspnoea, flank pain, red urine
All because of intravascular hemolysis & most often due to mismatched group transfusion๐ญ
4/10
Can be fatal if not recognised & managed immediately๐ณ
Clinically: fever, dyspnoea, flank pain, red urine
All because of intravascular hemolysis & most often due to mismatched group transfusion๐ญ
4/10
It's less evil twin is DELAYED HEMOLYTIC TRANSFUSION REACTION
This is d/t alloimmunization & is more often seen in heavily transfused pts.
Occurs a week or so after transfusion, is IgG mediated (rarely complement) so p/w features of EXTRAVASCULAR HEMOLYSIS !
#MedTwitter
5/10
This is d/t alloimmunization & is more often seen in heavily transfused pts.
Occurs a week or so after transfusion, is IgG mediated (rarely complement) so p/w features of EXTRAVASCULAR HEMOLYSIS !
#MedTwitter
5/10
There's another common reaction we see very frequently๐ญ
FEBRILE NON-HEMOLYTIC TRANSFUSION REACTION (FNHTR)
This is d/t anti-leucocyte antibodies and is minimised if leucodepleted blood products are used.
P/w fever but no signs of hemolysis๐๐ป
Needs some supportive care.
6/10
FEBRILE NON-HEMOLYTIC TRANSFUSION REACTION (FNHTR)
This is d/t anti-leucocyte antibodies and is minimised if leucodepleted blood products are used.
P/w fever but no signs of hemolysis๐๐ป
Needs some supportive care.
6/10
This is obviously over and above the numerous INFECTIOUS COMPLICATIONS one can encounter !!
Hep B
Hep C
HIV
HTLV
CMV
Parvo
And rarely bacterial sepsis ๐ญ๐ญ๐ญ
#MedTwitter
7/10
Hep B
Hep C
HIV
HTLV
CMV
Parvo
And rarely bacterial sepsis ๐ญ๐ญ๐ญ
#MedTwitter
7/10
Also, every unindicated transfusion takes up valuable nursing time.
Blood banks work hard to give you the product, help them out by saying NO to inadvertent transfusions ๐๐ป
Your reaction to unindicated transfusion must be ๐๐ป
8/10
Blood banks work hard to give you the product, help them out by saying NO to inadvertent transfusions ๐๐ป
Your reaction to unindicated transfusion must be ๐๐ป
8/10
I don't think I need to remind you how blood banks obtain blood ๐คทโโ๏ธ
It's not from Pharma but from donors like you and me. It's a precious resource, DON'T WASTE IT.
#MedTwitter
9/10
It's not from Pharma but from donors like you and me. It's a precious resource, DON'T WASTE IT.
#MedTwitter
9/10
Thanks for reading this far ๐ซก๐ซก
I hope you'll stop and question yourself before you recommend the next transfusion ๐๐ป
#MedTwitter
End.
I hope you'll stop and question yourself before you recommend the next transfusion ๐๐ป
#MedTwitter
End.
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