Transfusion-associated circulatory overload
Background
- Often confused with TRALI
- Frequently with rapid admin and large volume transfusions
- Associated with a rapid rise in blood pressure, not hypotension
- Essentially a CHF exacerbation 2/2 increased volume
Clinical Features
- Dyspnea, orthopnea, peripheral edema, rapid rise in BP
Differential Diagnosis
Transfusion Reaction Types
- Acute
- Intravascular hemolytic tranfusion reaction
- Febrile nonhemolytic tranfusion reaction
- Allergic tranfusion reaction
- Transfusion-associated circulatory overload (TACO)
- Transfusion-related acute lung injury (TRALI)
- Transfusion-associated graft-versus-host disease
- Fluid overload
- Sepsis
- Delayed
- Extravascular hemolytic tranfusion reaction
- Graft-vs-host disease
- Transfusion infections
Acute allergic reaction
- Allergic reaction/urticaria
- Anaphylaxis
- Angioedema
- Anxiety attack
- Asthma exacerbation
- Carcinoid syndrome
- Cold urticaria
- Contrast induced allergic reaction
- Scombroid
- Shock
- Transfusion reaction
Evaluation
- BNP or NT-proBNP to differentiate from other lung injury
See Also
- Transfusion reaction
References
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