25th July 2024

A 77-year-old female is admitted following a complicated neck of femur fracture

A 77-year-old female is admitted following a complicated neck of femur fracture after a fall at home. She undergoes a hip hemiarthroplasty which is successful and is prescribed 1 unit of RBC post operatively.

You are called to review her overnight, as 30 minutes into the transfusion she complains of chills, back pain and nausea. Her observations are T 38.5℃, sats 96% on room air, RR 24/minute, HR 110 bpm, BP 90/42 mmHg. You notice some oozing from her cannula site and some new rose-coloured urine in her catheter tubing. You immediately stop the transfusion and give IV NaCl 0.9% and send the blood back to the lab for analysis.

What would be the most important next step in the management of this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.