Patient who is a known case of thalassemia major already on repeated blood transfusions with history of iron overload previously treated with chelating agents. She also has a history of cardiac arrhythmia. She came for BT now. During BT patient complained of backache and looks extremely anxious. What is next management?
(A) Observe for a change in colour of the urine (B) Continue BT, do ECG (C) Stop BT and wait for patient to get normal and sta (D) Stop BT and Do clerical check
(D) Ans. d. Stop BT and do clerical checkThe patient has ominous signs of a major Acute Hemolytic transfusion reaction ( Backache/anxiety). STOP THE TRANSFUSION WITHOUT ANY DELAY.Also fuher work up is mandatory(especially the basic clerical work like checking the blood product details and cross matching repos) and do not resta transfusion until it is complete