Managing Complications in Pregnancy and Childbirth: - IAWG

C-30 Clinical use of blood, blood products and replacement fluids- promethazine 10 mg IV;- hydrocortisone 1 g IV every 2 hours as needed.• If bronchospasm occurs, give aminophylline 250 mg in normalsaline or Ringer’s lactate 10 mL IV slowly.• Combine resuscitation measures above until stabilized.• Monitor renal, pulmonary and cardiovascular functions.• Transfer to referral centre when stable.DOCUMENTING A TRANSFUSION REACTION• Immediately after the reaction occurs, take the following samplesand send with a request form to the blood bank for laboratoryinvestigations.- immediate post-transfusion blood samples:- 1 clotted;- 1 anticoagulated (EDTA/sequestrene) from the veinopposite the infusion site;- the blood unit and giving set containing red cell and plasmaresidues from the transfused donor blood;- the first specimen of the woman’s urine following the reaction.• If septic shock is suspected due to a contaminated blood unit, takea blood culture in a special blood culture bottle.• Complete a transfusion reaction report form.• After the initial investigation of the transfusion reaction, send thefollowing to the blood bank for laboratory investigations:- blood samples at 12 hours and 24 hours after the start of thereaction:- 1 clotted;- 1 anticoagulated (EDTA/sequestrene) taken from the veinopposite the infusion site;- all urine for at least 24 hours after the start of the reaction.• Immediately report all acute transfusion reactions, with theexception of mild skin rashes, to a medical officer and to the bloodbank that supplied the blood.