• Stop the transfusion
• Keep the intravenous line in place in order to administer medication
• Repeat transfusion tests
• Monitor recipient’s vital signs: blood pressure, pulse and temperature
Depending on the results of the tests, different measures will be adopted for subsequent transfusions. Once haemolysis resulting from ABO incompatibility has been ruled out and, given the likelihood of another type of reaction, tests are carried out which are considered necessary, such as cultivating products which were involved in the transfusion or studying different antibodies.
Depending on the type of reaction, an ordinary or urgent (rapid-alert) notification process is initiated. In the former case, a specific form will be sent to the BST Haemovigilance Coordinator which, once evaluated and validated, will be included in the Haemovigilance Register of Catalonia.
In the case of an urgent notification, the BST Haemovigilance Coordinator (or the doctor on duty if the former is not available) must be contacted rapidly by telephone and the corresponding rapid-alert form filled in to keep a record of the event.
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