January 2009, Volume 39 Number 1 , p 72 - 72
Huntley, Ann RN, APRN-BC, CCRN, MSN
Issue: Volume 39(1), January 2009, p 72 Publication Type: [Feature: Action STAT] Publisher: © 2009 Lippincott Williams & Wilkins, Inc. Institution(s): Clinical Nurse Specialist, Emory Healthcare, Atlanta, Ga.
ABOUT 5 MINUTES AFTER starting an infusion of packed red blood cells (PRBCs), Diane Torridon, 48, says she feels itchy, short of breath, and anxious. She's flushed, diaphoretic, tachypneic, and dyspneic. You note stridor, sinus tachycardia on the bedside monitor, and scattered urticaria on her anterior thorax.
Figure. No caption available. What's the situation?
Mrs. Torridon was admitted to your neuroscience unit earlier today after a craniotomy for repair of an unruptured middle cerebral artery aneurysm. She was neurologically intact and otherwise healthy, but because of her low hemoglobin (7 grams/dL compared with the 12-to-16-grams/dL range normal for women), she was receiving 1 unit of PRBCs, transfused over 2 hours.
Mrs. Torridon has no history of previous ...