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What is the purpose of the form? This form is meant to open the conversation about serious adverse transfusion reactions between a hospital and its blood supplier(s). The intent is to include sufficient information for the hospital and blood suppliers to investigate all units implicated in a reaction.
Document the time and date of the reaction, type and amount of infused blood or blood product, time you started the transfusion, and time you stopped it.
Your immune system can usually tell its own blood cells from those of another person. If you receive blood that is even partially not compatible with your blood, your body produces antibodies to destroy the donors blood cells. This process causes the transfusion reaction.
The most common signs and symptoms include fever, chills, urticaria (hives), and itching. Some symptoms resolve with little or no treatment. However, respiratory distress, high fever, hypotension (low blood pressure), and red (hemoglobinuria) can indicate a more serious reaction.
The request form MUST contain the following information: Patient details e.g. Surname, first name, gender, DOB and patient identification number. ward or location and consultant-in-charge. diagnosis or operation and reason for transfusion. high risk sticker if appropriate.

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Table 1. AHTRAcute hemolytic transfusion reaction DHTR Delayed hemolytic transfusion reaction FNHTR Febrile nonhemolytic transfusion reaction TACO Transfusion-associated circulatory overload TAD Transfusion-associated dyspnea6 more rows Oct 7, 2022
Transfusion should be considered when hemoglobin concentration is less than 7 g/dL. For hemodynamically stable children with congenital heart disease, a transfusion threshold based on the cardiac abnormality and stage of surgical repair is recommended.

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