Transfusion-associated circulatory overload: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Transfusion reaction types}} | {{Transfusion reaction types}} | ||
{{Acute Allergic DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 20:58, 4 February 2016
Background
- Often confused with TRALI
- Frequently with rapid admin and large volume transfusions
- Associated with a rapid rise in blood pressure, not hypotension
Clinical Features
- Dyspnea, orthopnea, peripheral edema, rapid rise in BP
Differential Diagnosis
Transfusion Reaction Types
- Acute
- Delayed
Acute allergic reaction
- Allergic reaction/urticaria
- Anaphylaxis
- Angioedema
- Anxiety attack
- Asthma exacerbation
- Carcinoid syndrome
- Cold urticaria
- Contrast induced allergic reaction
- Scombroid
- Shock
- Transfusion reaction
Diagnosis
- BNP or NT-proBNP to differentiate from other lung injury
Management
- O2,
- Supportive care
- Diuretics