While administering blood products during a surgical procedure, the tech notes that the patient has spiked a fever to 101 degrees, their skin is flushing and their heart rate has increased. What is the tech’s first reaction?
  1. Administer oxygen by non-rebreather mask at 10L/min.
  2. Call the Blood Bank to verify labeling of the blood products.
  3. Check the patient’s chart to ensure the orders are correct.
  4. Stop the transfusion and notify the physician.
Explanation
Answer: D-The tech’s first action is to stop the transfusion and notify the physician. When giving a blood transfusion, if the patient develops a fever, flushing and becomes tachycardic, they are most likely having a transfusion reaction. The tech needs to notify the physician who placed the order, as well as the Blood Bank; treat the signs of transfusion reaction; and begin another transfusion, if ordered.
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