Acute renal failure in a patient who received incompatible blood transfusion with hemolytic reaction is best managed by:
Microvascular thrombosis and deposition of haemoglobinin the distal renal tubule can result in acute renal failure. The extent of precipitation is inversely related to urine flow.I.V. fluids, vasopressors and diuretics should be given to maintain renal perfusion pressure, and to produce a diuresis. If acute renal failure develops, hemofiltration should be considered.
20% Mannitol
IV fluids with K+ supplementation
Alkalinizing the urine
Stopping blood transfusion
Blood Bank & Transfusion Therapy