A med surge question

[SPNCandace]

Okay last weekend in med surge we were studying hemotalogical disorders. Well we started talking about blood transfusions and I foud out that one of the adverse reactions is a hemolytic reaction. Which is the anitbody-antigen reactionsto a transfusion of ABO incompatible blood. Well a couple of the signs and symptoms are chest pain and back pain. I have asked a couple of nurses why would get pain there and I haven't gotten a straight answer.

I came to my own conclusion (which I am sure is wrong) regarding the back pain is that the kidney are working over time to get the extra protien out of the body...It's the only logical things that I can think of.

Maybe this is just one of those things where there is really no explainable reason and it just happends. But I am not to sure. So if any of my other fellow nursing students have any insight on this please let me know.

Thanks a ton

Candace.

[SPNCandace]

Sorry about all the typos guys, I wrote this thread in a hurry in class and I didn't bother to proof read what I had written

[labrador4122, RN]

you know, I've been an RN for 2 years an a couple of months, and I never thought about that.

when I have to give blood, I just print out a hospital policy of blood administration--- and of course pray that I do not have any reaction for any of my kiddies.

[SPNCandace]

I just figured it would be something I have to know just in case a patient asks me why this would happen.

[MissCharlieRN]

I think it has something to do with decreased tissue perfusion in the kidneys. Maybe ischemic pain or something? My book wasn't very clear on what actually caused the pain, but it does say there is diminished perfusion that could lead to kidney failure.

[diane227, LPN, RN]

Look at Emedicine on Web MD and it will explain a lot. Look under Transfusion Reaction.