transfusion side effects

Re: transfusion side effects

Kate Richardson — Thu, 12 Jan 2012 10:17:36 GMT

Re: transfusion side effects

Dagmar Steele — Wed, 11 Jan 2012 20:46:43 GMT

just to let you know she is doing a bit better day by day. Fever is down, we had some issues with bladder atony, but this is getting better with the help of betanechol. Took the stitches out today, wounds looking perfect. More strength in the legs. I'm getting slightly optimistic :-)

Re: transfusion side effects

Dagmar Steele — Mon, 09 Jan 2012 22:09:57 GMT

I did the transfusion myself, very slowly over more than three hours. Blood was only a few hours at least and properly stored and cooled. I'm not really concerned about any contamination there. And I would have expected a slower reaction from contaminated blood. Anyway, as long as I top up the metamizol every 18-20 hrs she is much more comfortable, hkt today 24.4%, regenerative, plts 661, full work went to external lab, results in tomorrow. keeping my fingers crossed...

Re: transfusion side effects

Kate Richardson — Mon, 09 Jan 2012 17:54:36 GMT

[quote user="Dagmar Steele"]So far so good [/quote]

Really pleased, hope she continues to improve. Have you spoken to the referral centre who dod the transfusion? I assume the blood wasn't too old and stored correctly?

Re: transfusion side effects

Lorna McHardy — Sun, 08 Jan 2012 19:02:42 GMT

like this

Re: transfusion side effects

Dagmar Steele — Sun, 08 Jan 2012 18:22:43 GMT

better than yesterday. Temperature is down to 37,8 in the morning, now 39,2C, has passed stools again, seems though that I have to empty the bladder by hand (until yesterday she did that herself), more alert. Todays meds were buprenorphine, lactulose and nacl, no lab works done, I just wanted to give it a rest as clinical picture seems ok. Eating from syringe, sleeping a lot, no hint of yellow on any mucous membranes. So far so good (how do you do the fingers crossed sign?)

Re: transfusion side effects

Kate Richardson — Sun, 08 Jan 2012 17:47:09 GMT

How's your little girl?

Re: transfusion side effects

Dagmar Steele — Sat, 07 Jan 2012 20:36:08 GMT

Danke! Wir können das gut gebrauchen!

Re: transfusion side effects

Lorna McHardy — Sat, 07 Jan 2012 18:13:11 GMT

Viel Glück!!

Re: transfusion side effects

Dagmar Steele — Sat, 07 Jan 2012 16:50:19 GMT

thanks all, she's on iv fluids 40ml/kg/d, don't think she'll need O2, pain relief done, comfort and lots of love given. And yes, I do tend to get hysterical when treating my own! We lost our other cat 18mths ago on the same street, very similar injuries plus broken spine and completely paralyzed (pts), which doesn't help to calm me down.

Temperature is down to 37,8C now, but still very very quiet.

Re: transfusion side effects

Kate Richardson — Sat, 07 Jan 2012 16:25:39 GMT

Without knowing more details, can only say support her. IV fluids, but don't over do it, O2 if nec, comfort, pain relief, anti-emetics if nec. And lots of love x

Re: transfusion side effects

sam aldridge — Sat, 07 Jan 2012 16:13:18 GMT

Not much help myself, but you could contact the pet blood bank uk - they have Vn/veterinary surgeons who have a lot of data collected on transfusion reactions and may be able to give more advice? Or if there is a similar body in Germany? Fingers crossed and good luck, treating your own is tough even when things go totally to plan x

Re: transfusion side effects

Dagmar Steele — Sat, 07 Jan 2012 13:57:42 GMT

No, not methimazole, metamizol is an antipyretic agent widely used in Germany, but I reckon it's not available in the US or UK.

I've thought of the dex because I'm frightened of haemolysis, there was none this morning, and no, I haven't checked protein levels as I'm at home with her.

I must admit I'm one of the bad ones occasionally using steroids and NSAIds together and so far I was lucky, maybe as this one has gone so pear shaped this'll go wrong, too, so yep, will add git protection, thanks for the reminder.

Re: transfusion side effects

Kate Richardson — Sat, 07 Jan 2012 13:39:23 GMT

Do you mean methimazole? If so why? What is she actually doing? Collapsed? Vomiting? Dysnoeic? Painful? Just feeling sh1t?

If she is not haemolysing (I assume you have checked a smear) then dex probably not indicated, plus she has been on metacam so care re git ulceration, probably add some sucralfate and an antacid.

Have you checked her protein levels and electrolytes?

Re: transfusion side effects

Hannah Wynne Richards — Sat, 07 Jan 2012 13:04:03 GMT

Best wishes

Wynne