Nurses Compass
Care Plan for Blood Transfusion Reaction
Category: Emergency
Assessment
Patient presents with fever, chills, and hypotension during blood transfusion.
Diagnosis
Risk for impaired tissue perfusion related to transfusion reaction.
Goals
Patient will remain free from complications as evidenced by stable vital signs and absence of symptoms of transfusion reaction. Patient will verbalize understanding of the importance of reporting any symptoms during transfusion.
Interventions
Stop the transfusion immediately and notify the healthcare provider. Monitor vital signs and symptoms closely. Administer prescribed medications such as antihistamines and corticosteroids to manage symptoms. Educate patient on the importance of reporting any symptoms during future transfusions.
Rationale
These interventions aim to manage symptoms, prevent complications, and educate the patient on the importance of reporting symptoms.
Evaluation
Patient's vital signs and symptomatology will be monitored to evaluate the effectiveness of interventions.