امرأة عمرها ٥٠ سنة بعد ١٠ دقائق من بدء نقل الدم صار عندها قشعريرة، وألم في الظهر، وضيق في الصدر. الحرارة ٣٨٫٩، والضغط نزل من ١٣٠/٨٠ إلى ٨٨/٥٠، والنبض ١٢٤. ما أول إجراء؟

A 50-year-old woman, 10 minutes into a blood transfusion, develops chills, back pain and chest tightness. T 38.9 °C, BP falls from 130/80 to 88/50, HR 124. What is the first action?

1. Stop the transfusion immediately
2. Wait for the doctor before acting
3. Give an antipyretic and finish the unit
4. Halve the transfusion rate

Answer: A) Stop the transfusion immediately. Fever, back pain and hypotension in the first minutes indicate an acute haemolytic reaction; stop immediately, keep the vein open with new saline and notify the doctor and blood bank.