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A client receiving packed Red Blood Cells (RBC) has developed flushing, itching and bronchial wheezing. Answer...

A client receiving packed Red Blood Cells (RBC) has developed flushing, itching and bronchial wheezing. Answer the following questions (5-10 words each).
17.1) What is your interpretation regarding the manifested signs?

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Answer #1

Sometimes the recipient do not accept the RBC transfused mainly due to ABO mismatch. This leads to severe reaction between the antibodies present in recipient blood and the transfused RBC. This results in destruction or hemolysis of transfused RBC. This reaction is known as acute hemolytic transfusion reaction.
Acute hemolytic reaction can sometimes prove fatal.
The early signs of reaction are fever, chills, flushing, itching, chest pain and body ache, vomiting, wheezes, difficulty breathing.
The flushing, itching and bronchial wheezing exhibited by the patient after receiving packed RBC is due to the acute hemolytic transfusion reaction.

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