Transfusion-Associated Adverse Events: A Case Report of Nurse Hemovigilance and Recognition of Respiratory Distress

Nicole C. Lea, Karen Gibbs, Chantay Johnson, Anne Lam, Elizabeth Wuestner, Shiu Ki Rocky Hui

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Although blood transfusions are considered a potentially life-saving therapy, noninfectious and infectious adverse events can lead to significant morbidities and even mortality. Vital signs and visual observation of patients during blood transfusions are thoroughly taught in nursing school. Updated terms of hemovigilance and transfusion-associated adverse events (TAAEs) are presented through this case study. A patient with factor V deficiency, which requires chronic plasma transfusions, experienced 2 types of TAAEs, anaphylaxis and transfusion-associated circulatory overload. The patient's history and TAAEs are presented and discussed to provide evidence for the importance of vigilant bedside surveillance. Early identification of TAAEs may prevent unnecessary morbidity and/or mortality. The primary nursing functions and responsibilities are presented with algorithmic supplementation to facilitate better understanding of best practice. Ongoing assessment of hemovigilance practices is indicated to ascertain which monitoring tools can lead to optimal patient care.

Original languageEnglish (US)
Pages (from-to)264-269
Number of pages6
JournalJournal of Infusion Nursing
Volume45
Issue number5
DOIs
StatePublished - Sep 1 2022

Keywords

  • coagulation
  • factor deficiency
  • plasma therapy
  • transfusion
  • transfusion reaction
  • transfusion-associated adverse event

ASJC Scopus subject areas

  • Nursing(all)

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