What is a primary reason a nurse would discontinue a blood transfusion?

A primary reason a nurse would discontinue a blood transfusion is a transfusion reaction. This reaction can range from mild symptoms, such as fever and chills, to severe and potentially life-threatening responses like anaphylaxis, hemolytic reactions, or transfusion-related acute lung injury (TRALI). If a transfusion reaction occurs, it is crucial to stop the transfusion immediately to prevent further complications and ensure the patient’s safety.

Other signs, such as increased heart rate, elevated blood pressure, and changes in mental status, may warrant further investigation and monitoring, but they are not definitive indicators to stop a transfusion. Rather, they could signify other medical issues that need to be evaluated, and the transfusion may still be beneficial depending on the circumstances. In contrast, a transfusion reaction directly compromises patient safety, necessitating prompt cessation of the transfusion process.