Reference no: EM133710472

Problem

John, a 65-year-old male, was brought to the emergency department after a severe car accident. He was unconscious and had multiple injuries, including a deep laceration on his left thigh and a fractured femur. John has a history of hypertension and type 2 diabetes. His latest lab results showed a hemoglobin level of 6.0 g/dl, significantly lower than the normal range (13.5-17.5 g/dl for men). His vital signs were unstable, with a blood pressure of 90/60 mmHg, heart rate of 110 beats per minute, respiratory rate of 22 breaths per minute, and oxygen saturation of 92% on room air. Given John's low hemoglobin level and unstable vital signs, packed red blood cells (PRBCs) would be the most appropriate choice for John. Identify 3 possible transfusion reactions. Re-create the scenario to incorporate each reaction. Identify special nursing considerations for each scenario, identify treatment considerations for each reaction and determine how your responds to your treatment. Include SBAR approach to contacting the physician regarding one of the reactions.