Pooja Blood Bank collects, Process & distribute blood to local hospitals in and around Mumbai

AETIOLOGY
Circulatory Overload (CO)

INCIDENCE
Unusual

CLINICAL CULTURE
Fullness in head, tightness in chest, dyspnoea, dry cough, moist rales, apparent recovery & insidious pulmonary oedema, heart failure and death.
Jugular venous pressure is found to be increased.

MANAGEMENT
1. Stop transfusion.
2. If the patient is recumbent prop him/her up.
3. Give frusemide i/v.
4. Give positive pressure ventilation.
5. If rapid recovery is not observed after the above, venesection (upto the entire amount transfused may be tried.)

PREVENTION
Do not unnecessarily exceed the rate of 1.0 ml/kg/hour while transfusing blood components.
Monitor heart rate, arterial & venous pressure, core & peripheral temperature during transfusions.

	AETIOLOGY Circulatory Overload (CO)
	INCIDENCE Unusual
	CLINICAL CULTURE Fullness in head, tightness in chest, dyspnoea, dry cough, moist rales, apparent recovery & insidious pulmonary oedema, heart failure and death. Jugular venous pressure is found to be increased.
	MANAGEMENT 1. Stop transfusion. 2. If the patient is recumbent prop him/her up. 3. Give frusemide i/v. 4. Give positive pressure ventilation. 5. If rapid recovery is not observed after the above, venesection (upto the entire amount transfused may be tried.)
	PREVENTION Do not unnecessarily exceed the rate of 1.0 ml/kg/hour while transfusing blood components. Monitor heart rate, arterial & venous pressure, core & peripheral temperature during transfusions.