Page 244 - pathology_services_handbook_5th_edition_2018

16.0 INVESTIGATION OF TRANSFUSION REACTION

This is conducted when a patient develops a transfusion reaction such as febrile or
HTAA, KUANTAN Important : All reactions must be reported immediately.
suspected haemolytic reaction.

The blood bag (with the remaining blood) and giving set (with all attached labels)
should be preserved for culture. Secure it properly to prevent spillage and send
immediately to Blood Bank together with the following forms which must be completely
and accurately filled :

i. PPDK 22-Pin. 1/80 (Report of Reaction To Blood or Plasma)
ii. Borang X (Reporting Format For Adverse Transfusion Event)
iii. PER-PAT 301
iv. HAEM/JP/HTAA/01Ver.2 (Haematology Request Form)

The following samples and forms must be taken stating patient’s name and identifying
data and labeled as Post-transfusion 1 :

i. 8 ml of blood into EDTA tube (4 ml).
ii. 2.5 ml EDTA blood for Full Blood Picture (FBP) by case basis.
iii. 20 ml of urine.

A second set of samples, 24 hours after the reaction should be taken and labeled as
Post-transfusion 2 including:

i. 10 ml of blood in a plain tube.
ii. 2.5 ml EDTA blood for Full Blood Picture (FBP) by case basis.
iii. 20 ml of urine.

17.0 FURTHER INFORMATION

For further information about transfusion, user can refer to Transfusion Practice
Guidelines for Clinicians and Laboratory Personnel by National Blood Bank (3rd Edition
2008) by surfing this link:

http://pdn.gov.my/ms/perkhidmatan/muat-turun/viewcategory/2-panduan-transfusi

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