A 25-year-old female with a history of fibromyomatous and severe menometrorrhagia is scheduled for a blood transfusion. She has become quite fatigued and has developed shortness of breath with minimal exertion.
Her hemoglobin is 6.1 mg/dL. While receiving her second unit of RBCs the patient developed a very pruritic rash over the shoulder.
Figure.
The patient’s vital signs are stable. She is not febrile. Her blood pressure is 120/70 mmHg. What will be the best action to take?
- Continue blood transfusion rate, report to the blood bank
- Continue the blood transfusion, infuse normal saline, obtain a direct anti-globulin test, and repeat type and cross match
- Immediately discontinue the blood transfusion and administer corticosteroids
- Continue blood transfusion, administer antihistamines
- Immediately discontinue the blood transfusion and administer epinephrine
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