5.6.1
Mild Reaction
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 5, Blood and Haematology.
Signs and Symptoms
- Itchy rash
Possible cause: hypersensitivity (mild)
Treatment
- Stop the transfusion
- Administer antihistamine IM/IV or PO
- Chlorpheniramine 0.1 mg/kg IM or IV for children; 10mg IM/IV for adult alternatively Chlorpheniramine 4mg PO or
- Promethazine 6.25-12.5mg for children aged 5-12 yrs and 25mg for adults.
- If no clinical improvement within 30 minutes or if signs and symptoms worsen, treat as Category 2.
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
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