In an overload reaction to transfusion, what is the recommended initial management?

In an overload reaction to transfusion, what is the recommended initial management?

• A. Elevate head of bed and monitor
• B. Stop transfusion, administer lasix
• C. Continue infusion at slower rate
• D. Administer Epinephrine

Answer: (B)

In a transfusion overload reaction, the key issue is excess circulating fluid that is stressing the heart and lungs. The first and most important step is to stop the transfusion immediately to prevent any more volume from entering the circulation. After stopping the transfusion, giving a diuretic such as furosemide helps mobilize and remove the excess fluid, reducing pulmonary edema and improving breathing. While you manage the overload, provide supportive care—place the patient in a position that eases breathing, administer oxygen as needed, and monitor vitals and fluid status. Continuing the infusion would worsen the overload, and epinephrine is used for severe allergic reactions, not for volume overload.

In a transfusion overload reaction, the key issue is excess circulating fluid that is stressing the heart and lungs. The first and most important step is to stop the transfusion immediately to prevent any more volume from entering the circulation. After stopping the transfusion, giving a diuretic such as furosemide helps mobilize and remove the excess fluid, reducing pulmonary edema and improving breathing. While you manage the overload, provide supportive care—place the patient in a position that eases breathing, administer oxygen as needed, and monitor vitals and fluid status. Continuing the infusion would worsen the overload, and epinephrine is used for severe allergic reactions, not for volume overload.