How should I assess a patient for potential transfusion reactions during and after a blood transfusion?

Assessing a patient for potential transfusion reactions during and after a blood transfusion involves close monitoring of the patient's clinical condition and vital signs before, during, and after the transfusion. This is essential to detect any acute transfusion reactions that may require immediate investigation and treatment.

Patients should be observed in a suitable environment staffed by personnel trained to monitor and manage acute transfusion reactions. This ensures prompt recognition and response to any adverse events.

Monitoring includes regular assessment of vital signs such as temperature, pulse, blood pressure, and respiratory rate, as well as observing for any new symptoms like fever, chills, rash, or respiratory distress. Any unexpected changes should prompt immediate clinical evaluation.

Documentation of the patient's condition and any reactions during and after transfusion is critical for ongoing care and communication with the multidisciplinary team.