Florida State Paramedic Practice Exam

In the event of a blood transfusion reaction during transport, what should be the first action taken?

1. Notify the physician

2. Discontinue blood products

3. Administer antihistamines

4. Monitor vitals closely

The correct answer is: Discontinue blood products

In the event of a blood transfusion reaction during transport, the immediate priority is to discontinue the blood products. This is essential because continuing the transfusion can worsen the reaction and lead to serious complications. Discontinuing the infusion stops the introduction of the incompatible blood components and allows for the patient’s condition to stabilize. Following this action, standard protocol usually involves notifying the physician to provide guidance on further management, monitoring the patient’s vital signs closely for any changes, and potentially administering other medications like antihistamines if indicated. However, the first and most critical response is to stop the transfusion, ensuring patient safety by minimizing the risk of further adverse effects from the blood components.