Name: Caroline Beattie

Theme: Blood Transfusion 1

 

OPTION LIST

 

A

ABO incompatible

I

Iron overload

B

Air embolism

J

Post-transfusion purpura (PTP)

C

Anaphylaxis due to IgA deficiency

K

Transfusion related acute lung injury (TRALI)

D

Bacterial infection

L

Urticarial rash

E

CMV infection

M

 

F

Delayed transfusion reaction

N

 

G

Febrile non-haemolytic transfusion reaction (FNHTR)

O

 

H

Graft vs. Host disease

P

 

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1.  A 21 year old male patient develops a diffuse, erythematous rash on both arms shortly after receiving a blood transfusion. The rash responded well to chlorphenamine.

 

2.   A 28 year old female patient presents to A&E with jaundice and fever. The history revealed she had received a blood transfusion whilst giving birth seven days previously. Blood tests revealed her haemoglobin to be 9g/dL.

 

3. A 30 year old female patient develops red/purple spots on both legs after receiving a blood transfusion during a Caesarean section several days previously.

 

4. A 40 year old male patient with known Sickle-Cell anaemia develops mild symptoms of fever and rigors 3 to 4 days after a transfusion.

 

5. A 36 year old male patient develops severe shortness of breath, laryngeal oedema and hypotension shortly after receiving a blood transfusion.

 

 

ANSWERS

1. L

2. F

3. J

4. G

5. C