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Test Code LAB893 Transfusion Reaction

Important Note

If a transfusion reaction is suspected, immediately:

  1. Stop infusing the blood product
  2. Notify M.D.
  3. Notify the blood bank at x2118
  4. Collect a UA sample post transfusion

Useful For

Determining the cause of adverse reactions from the administration of blood products

Additional Infomation

Possible Transfusion Reaction Symptoms:

  • Fever/Chills
  • Flushing/Severe shaking
  • Hives & Itching
  • Hematuria
  • Hypotension
  • Nausea
  • Severe low back pain
  • Dyspnea
  • Shock
  • Oozing from wound or vein

Methodology

Capture solid phase automation and manual blood banking methods

Performing Laboratory

Bozeman Health Laboratory Services

Specimen Requirements

All three of the following specimens are required:

 

Specimen Type: Whole blood

Container/Tube: Pink top preferred (K2 EDTA) or Purple top

Specimen Volume: 6 mL

Specimen Minimum Volume: 3 mL

Collection Instructions: 

1.  Properly identify patient and draw specimen post-transfusion reaction.  Do not reband patient.

2.  Label specimen as follows prior to leaving patient’s side as follows:

a. Patient’s full name, DOB, and medical record number (demographic label is acceptable)

b. Date and time of draw
c. Phlebotomist’s initials
d. Band number sticker from the existing blood bank wristband. 

3.  Do not centrifuge. Forward unprocessed whole blood promptly.

Specimen Rejection:

Proper labeling is critical as this specimen will be used to identify any clerical errors. 

 

Specimen Type: Serum
Container/Tube: Red top or gold top

Specimen Volume: 3 mL
Specimen Minimum Volume: 1 mL

Collection Instructions:  Specimen must be collected post-transfusion reaction.  Properly label specimen and forward to blood bank promptly. 

 

Specimen Type: Urine

Container/Tube: Clean container

 

Specimen Volume: 10 mL

Specimen Minimum Volume: 3 mL

Collection Instructions: Collect a random urine collection post-transfusion reaction.  Properly label (demographic label acceptable) and send to blood bank promptly.

Specimen Transport Temperature

Ambient/Refrigerated

Specimen Stability

 

Specimen Type Temperature Time
Whole Blood EDTA (ABO, Rh, DAT) Ambient 24 hours
  Refrigerated 10 days
EDTA plasma (antibody screen) Refrigerated 4 days
  Frozen 60 days
Serum Ambient 8 hours
  Refrigerated 7 days
Urine Ambient 2 hours
  Refrigerated 48 hours

 

Reference Values

No transfusion reaction identified

Critical Values (automatic call-back): Any evidence of a hemolytic transfusion reaction

Special Instructions

Blood Bank Transfusion Reaction Report Form

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

87205

7000282