Blood Product Transfusion: Side Effects to Watch For After Going Home

The following should be filled in by your child’s nurse or doctor.

Your child received the following blood product (circle):

Blood components

  • red blood cells
  • platelets
  • plasma
  • cryoprecipitate

Plasma protein products

  • albumin
  • intravenous immune globulin​ (e.g. Gamunex, Gammagard, Privigen)
  • CMV immune globulin (Cytogam)
  • varicella zoster immune globulin
  • hepatitis B immune globulin
  • tetanus immune globulin
  • Rh immune globulin (WinRho)
  • clotting factor concentrates (Factor XIII, von Willebrand Factor, etc.)

Recombinant factors (made in the lab, not from human plasma)

  • factor VII
  • factor IX
  • factor VIIa

When and where your child received the blood product

Date and time:

Location:

Side effects

Most children will not have any side effects after a blood product transfusion. Other children may have very mild side effects. Side effects most often happen during the first 30 minutes after a transfusion, but sometimes side effects can happen up to 2 days after or even later.

If you or your child are not staying at the hospital for 60 minutes after the transfusion is complete, your child must be observed for reactions as outlined below. A parent or guardian must accompany all patients if they are not staying for the 60-minute period after the transfusion.

When to call the doctor right away or take your child to the Emergency Department

It is very rare, but some times children have more serious side effects. If your child has more than one of the following symptoms at the same time after you have gone home, call your child’s doctor right away or bring your child to your local Emergency Department:

  • fever
  • serious headache
  • stiff neck
  • feeling sick to the stomach
  • throwing up
  • less alert
  • disturbed by bright light
  • yellow in the face

Call the nurse or doctor if your child has one of these side effects

If your child has only one of the following side effects (but no more than one), call your child’s nurse or doctor:

  • headache
  • fast heart rate
  • dizziness or feeling light-headed
  • backache
  • flushing (redness) of the face
  • stomach pain
  • throwing up or upset stomach
  • diarrhea
  • muscle pain
  • chest tightness or out of breath
  • rash, hives, or itching
  • feeling cold (chills)
  • fever

Also call the doctor or nurse if your child has any of the following problems:

  • headache with tiredness and/or blurred vision
  • trouble urinating (peeing), and the urine (pee) is much darker than normal
  • bleeding more than you would expect from a cut or scrape
  • pain on the right side of the body under the lower ribs and feeling sick to the stomach

Who to call with non-urgent questions or concerns

The following should be filled in by your child’s nurse or doctor.

Call this number:

During these hours:

 

Key points

  • A parent or guardian must stay with your child if he is not staying for the 60 minutes after the transfusion.
  • It is rare, but sometimes children have serious side effects.
  • If your child has more than one of the serious side effects listed in this brochure, you should call your child’s doctor right away or take him to your local Emergency Department.

Transfusion Advisory Group

11/25/2010




Notes: