Page 109 - ATP-P 11th Ed

Tube: 1 2 3 4 SECTION 1
Centrifuged Blood Samples Showing Clear Plasma and Worsening Levels of Hemolysis
(Retrieved from http://clinical-laboratory.blogspot.com/2013/06/preventing-pre-analytical-errors.html)

e. Other transfusion related signs and symptoms
i. Flushing (especially in the face), urticaria, or edema
ii. Increased pulse or respiratory rate
iii. Nausea, vomiting or diarrhea
iv. Pain and/or edema at the infusion site
v. Headache
vi. Feeling of impending doom
f. Citrate Toxicity
i. Mild
(a) Perioral and periorbital paresthesia
(b) Metallic taste in the mouth
(c) “Tingling” sensation around the mouth or in the extremities
ii. Severe
(a) Carpopedal spasms
(b) Twitching
(c) Chills
(d) Stomach cramps
(e) Pressure in the chest
(f) Hypotension and possible cardiac arrhythmia
(g) Nausea and/or vomiting
(h) Tetany
(i) Laryngeal spasm

98 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 99