{"id":404,"date":"2019-04-05T08:47:02","date_gmt":"2019-04-05T11:47:02","guid":{"rendered":"https:\/\/preservasangue.com.br\/?page_id=404"},"modified":"2022-04-11T12:45:02","modified_gmt":"2022-04-11T15:45:02","slug":"suspeita-de-reacao-transfusional","status":"publish","type":"page","link":"https:\/\/educasangue.com.br\/index.php\/suspeita-de-reacao-transfusional\/","title":{"rendered":"Suspeita de rea\u00e7\u00e3o transfusional"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"404\" class=\"elementor elementor-404\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e0834ca elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e0834ca\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-769d0af\" data-id=\"769d0af\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d331ec8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d331ec8\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8607924\" data-id=\"8607924\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-345cfcc\" data-id=\"345cfcc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3fd7cf1 elementor-widget elementor-widget-elementskit-social-media\" data-id=\"3fd7cf1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-social-media.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t\t <ul class=\"ekit_social_media\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"elementor-repeater-item-5eb0945\">\n\t\t\t\t\t    <a\n\t\t\t\t\t\thref=\"https:\/\/m.facebook.com\/educasangue1\" aria-label=\"Facebook\" class=\"facebook\" >\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-facebook\"><\/i>\n                                                                                        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data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-acc8977\" data-id=\"acc8977\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-65d490d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"65d490d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-7387cf7\" data-id=\"7387cf7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fb2ff1d elementor-widget elementor-widget-image\" data-id=\"fb2ff1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"525\" height=\"164\" src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2020\/09\/EducaSangue.png\" class=\"attachment-large size-large wp-image-3917\" alt=\"\" sizes=\"100vw\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-d1e1bcb\" data-id=\"d1e1bcb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0731425 elementor-hidden-tablet elementor-hidden-phone elementor-widget elementor-widget-ekit-nav-menu\" data-id=\"0731425\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"ekit-nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<nav class=\"ekit-wid-con ekit_menu_responsive_tablet\"\n\t\t\tdata-hamburger-icon=\"\"\n\t\t\tdata-hamburger-icon-type=\"icon\"\n\t\t\tdata-responsive-breakpoint=\"1024\">\n\t\t\t            <button class=\"elementskit-menu-hamburger elementskit-menu-toggler\"  type=\"button\" aria-label=\"hamburger-icon\">\n                                    <span class=\"elementskit-menu-hamburger-icon\"><\/span><span class=\"elementskit-menu-hamburger-icon\"><\/span><span class=\"elementskit-menu-hamburger-icon\"><\/span>\n                            <\/button>\n            <div id=\"ekit-megamenu-principal\" class=\"elementskit-menu-container elementskit-menu-offcanvas-elements elementskit-navbar-nav-default ekit-nav-menu-one-page-no ekit-nav-dropdown-hover\"><ul id=\"menu-principal\" class=\"elementskit-navbar-nav elementskit-menu-po-center submenu-click-on-icon\"><li id=\"menu-item-2648\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-2648 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link\">Home<\/a><\/li>\n<li id=\"menu-item-4049\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4049 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/sobre\/\" class=\"ekit-menu-nav-link\">sobre<\/a><\/li>\n<li id=\"menu-item-3155\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-has-children menu-item-3155 nav-item elementskit-dropdown-has relative_position elementskit-dropdown-menu-default_width elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link ekit-menu-dropdown-toggle\">PBM<i aria-hidden=\"true\" class=\"icon icon-down-arrow1 elementskit-submenu-indicator\"><\/i><\/a>\n<ul class=\"elementskit-dropdown elementskit-submenu-panel\">\n\t<li id=\"menu-item-1207\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1207 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/o-que-e-pbm\/\" class=\" dropdown-item\">O que \u00e9 PBM?<\/a>\t<li id=\"menu-item-167\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-167 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/pbm-no-ceara\/\" class=\" dropdown-item\">PBM no Cear\u00e1<\/a><\/ul>\n<\/li>\n<li id=\"menu-item-3464\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3464 nav-item elementskit-dropdown-has relative_position elementskit-dropdown-menu-default_width elementskit-mobile-builder-content\" data-vertical-menu=750px><a class=\"ekit-menu-nav-link ekit-menu-dropdown-toggle\">Transfus\u00e3o<i aria-hidden=\"true\" class=\"icon icon-down-arrow1 elementskit-submenu-indicator\"><\/i><\/a>\n<ul class=\"elementskit-dropdown elementskit-submenu-panel\">\n\t<li id=\"menu-item-3636\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3636 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/quando-transfundir\/\" class=\" dropdown-item\">Quando transfundir<\/a>\t<li id=\"menu-item-3637\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3637 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/como-evitar-a-transfusao-desnecessaria\/\" class=\" dropdown-item\">Como evitar a transfus\u00e3o desnecess\u00e1ria<\/a>\t<li id=\"menu-item-3638\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3638 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/procedimento-de-transfusao\/\" class=\" dropdown-item\">Procedimento de transfus\u00e3o<\/a>\t<li id=\"menu-item-3639\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3639 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/suspeita-de-reacao-transfusional\/\" class=\" dropdown-item\">Suspeita de rea\u00e7\u00e3o transfusional<\/a>\t<li id=\"menu-item-3659\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3659 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/plasma\/\" class=\" dropdown-item\">Testes pr\u00e9-transfusionais<\/a><\/ul>\n<\/li>\n<li id=\"menu-item-3346\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3346 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/dicas-e-videos-2\/\" class=\"ekit-menu-nav-link\">Dicas<\/a><\/li>\n<li id=\"menu-item-3631\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3631 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/biblioteca\/\" class=\"ekit-menu-nav-link\">Evid\u00eancias<\/a><\/li>\n<li id=\"menu-item-3630\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3630 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/download\/\" class=\"ekit-menu-nav-link\">Download<\/a><\/li>\n<li id=\"menu-item-162\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-162 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/fale-conosco\/\" class=\"ekit-menu-nav-link\">Fale conosco<\/a><\/li>\n<\/ul><div class=\"elementskit-nav-identity-panel\"><a class=\"elementskit-nav-logo\" href=\"https:\/\/educasangue.com.br\" target=\"\" rel=\"\"><img src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2020\/11\/placeholder.png\" title=\"\" alt=\"\" decoding=\"async\" \/><\/a><button class=\"elementskit-menu-close elementskit-menu-toggler\" type=\"button\">X<\/button><\/div><\/div>\n\t\t\t<div class=\"elementskit-menu-overlay elementskit-menu-offcanvas-elements elementskit-menu-toggler ekit-nav-menu--overlay\"><\/div>        <\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25ca01e elementor-hidden-desktop elementor-widget elementor-widget-ekit-nav-menu\" data-id=\"25ca01e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"ekit-nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<nav class=\"ekit-wid-con ekit_menu_responsive_mobile\"\n\t\t\tdata-hamburger-icon=\"icon icon-menu-button-of-three-horizontal-lines\"\n\t\t\tdata-hamburger-icon-type=\"icon\"\n\t\t\tdata-responsive-breakpoint=\"767\">\n\t\t\t            <button class=\"elementskit-menu-hamburger elementskit-menu-toggler\"  type=\"button\" aria-label=\"hamburger-icon\">\n                <i aria-hidden=\"true\" class=\"ekit-menu-icon icon icon-menu-button-of-three-horizontal-lines\"><\/i>            <\/button>\n            <div id=\"ekit-megamenu-menu_mobile\" class=\"elementskit-menu-container elementskit-menu-offcanvas-elements elementskit-navbar-nav-default ekit-nav-menu-one-page- ekit-nav-dropdown-hover\"><ul id=\"menu-menu_mobile\" class=\"elementskit-navbar-nav elementskit-menu-po-left submenu-click-on-icon\"><li id=\"menu-item-3919\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-home menu-item-3919 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link\">Home<\/a><\/li>\n<li id=\"menu-item-4048\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4048 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/sobre\/\" class=\"ekit-menu-nav-link\">sobre<\/a><\/li>\n<li id=\"menu-item-3921\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-has-children menu-item-3921 nav-item elementskit-dropdown-has relative_position elementskit-dropdown-menu-default_width elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link ekit-menu-dropdown-toggle\">PBM<i aria-hidden=\"true\" class=\"icon icon-down-arrow1 elementskit-submenu-indicator\"><\/i><\/a>\n<ul class=\"elementskit-dropdown elementskit-submenu-panel\">\n\t<li id=\"menu-item-3922\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3922 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/o-que-e-pbm\/\" class=\" dropdown-item\">O que \u00e9 PBM?<\/a>\t<li id=\"menu-item-3923\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3923 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/pbm-no-ceara\/\" class=\" dropdown-item\">PBM no Cear\u00e1<\/a><\/ul>\n<\/li>\n<li id=\"menu-item-3942\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-has-children menu-item-3942 nav-item elementskit-dropdown-has relative_position elementskit-dropdown-menu-default_width elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link ekit-menu-dropdown-toggle\">Transfus\u00e3o<i aria-hidden=\"true\" class=\"icon icon-down-arrow1 elementskit-submenu-indicator\"><\/i><\/a>\n<ul class=\"elementskit-dropdown elementskit-submenu-panel\">\n\t<li id=\"menu-item-3929\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3929 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/quando-transfundir\/\" class=\" dropdown-item\">Quando transfundir<\/a>\t<li id=\"menu-item-3931\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3931 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/plasma\/\" class=\" dropdown-item\">testes pr\u00e9 transfusionais<\/a>\t<li id=\"menu-item-3928\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3928 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/procedimento-de-transfusao\/\" class=\" dropdown-item\">Procedimento de transfus\u00e3o<\/a>\t<li id=\"menu-item-3930\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3930 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/suspeita-de-reacao-transfusional\/\" class=\" dropdown-item\">Suspeita de rea\u00e7\u00e3o transfusional<\/a>\t<li id=\"menu-item-3927\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3927 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/como-evitar-a-transfusao-desnecessaria\/\" class=\" dropdown-item\">Como evitar a transfus\u00e3o desnecess\u00e1ria<\/a><\/ul>\n<\/li>\n<li id=\"menu-item-3925\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3925 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/dicas-e-videos-2\/\" class=\"ekit-menu-nav-link\">Dicas<\/a><\/li>\n<li id=\"menu-item-3932\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3932 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/biblioteca\/\" class=\"ekit-menu-nav-link\">Evid\u00eancias<\/a><\/li>\n<li id=\"menu-item-3933\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3933 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/download\/\" class=\"ekit-menu-nav-link\">Download<\/a><\/li>\n<li id=\"menu-item-3934\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3934 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/fale-conosco\/\" class=\"ekit-menu-nav-link\">Fale conosco<\/a><\/li>\n<\/ul><div class=\"elementskit-nav-identity-panel\"><a class=\"elementskit-nav-logo\" href=\"https:\/\/educasangue.com.br\" target=\"\" rel=\"\"><img src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2020\/09\/EducaSangue.png\" title=\"EducaSangue\" alt=\"EducaSangue\" decoding=\"async\" \/><\/a><button class=\"elementskit-menu-close elementskit-menu-toggler\" type=\"button\">X<\/button><\/div><\/div>\n\t\t\t<div class=\"elementskit-menu-overlay elementskit-menu-offcanvas-elements elementskit-menu-toggler ekit-nav-menu--overlay\"><\/div>        <\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-79002eb\" data-id=\"79002eb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7e81264 elementor-widget elementor-widget-elementskit-header-search\" data-id=\"7e81264\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-header-search.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >        <a href=\"#ekit_modal-popup-7e81264\" class=\"ekit_navsearch-button ekit-modal-popup\" aria-label=\"navsearch-button\">\n            <i aria-hidden=\"true\" class=\"icon icon-search\"><\/i>        <\/a>\n        <!-- language switcher strart -->\n        <!-- xs modal -->\n        <div class=\"zoom-anim-dialog mfp-hide ekit_modal-searchPanel\" id=\"ekit_modal-popup-7e81264\">\n            <div class=\"ekit-search-panel\">\n            <!-- Polylang search - thanks to Alain Melsens -->\n                <form role=\"search\" method=\"get\" class=\"ekit-search-group\" action=\"https:\/\/educasangue.com.br\/\">\n                    <input type=\"search\" class=\"ekit_search-field\" aria-label=\"search-form\" placeholder=\"Pesquisar\" value=\"\" name=\"s\">\n\t\t\t\t\t<button type=\"submit\" class=\"ekit_search-button\" aria-label=\"search-button\">\n                        <i aria-hidden=\"true\" class=\"icon icon-search\"><\/i>                    <\/button>\n                <\/form>\n            <\/div>\n        <\/div><!-- End xs modal -->\n        <!-- end language switcher strart -->\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-f53e7fe\" data-id=\"f53e7fe\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b20fbe9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b20fbe9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9f20363\" data-id=\"9f20363\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f92cdba elementor-widget elementor-widget-heading\" data-id=\"f92cdba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-large\">rea\u00e7\u00f5es<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0172654 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0172654\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-83777bb\" data-id=\"83777bb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1827193 elementor-widget elementor-widget-heading\" data-id=\"1827193\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">TRANSFUSIONAIS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c80994 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3c80994\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-91e5d68 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"91e5d68\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2029dff\" data-id=\"2029dff\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-1c5a255 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1c5a255\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0aa0c46\" data-id=\"0aa0c46\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-25ad8ad elementor-widget elementor-widget-text-editor\" data-id=\"25ad8ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Apesar dos seus efeitos terap\u00eauticos, e mesmo quando bem indicada, a transfus\u00e3o sangu\u00ednea pode levar a rea\u00e7\u00f5es adversas em cerca de\u00a01 a 3%\u00a0dos receptores de sangue dependendo do hemocomponente utilizado.\u00a0 De acordo com a ANVISA uma rea\u00e7\u00e3o transfusional &#8211; RT consiste em um efeito ou resposta n\u00e3o desejado associado com a administra\u00e7\u00e3o de sangue ou hemocomponente. Pode ser o resultado de um incidente do ciclo do sangue ou ser uma intera\u00e7\u00e3o entre o receptor e o hemocomponente transfundido.\u00a0<\/p><p><b>Fique esperto!<\/b>\u00a0Se voc\u00ea nunca viu uma rea\u00e7\u00e3o transfusional, n\u00e3o se engane, elas est\u00e3o acontecendo e n\u00e3o est\u00e3o sendo vistas.\u00a0<\/p><p>As rea\u00e7\u00f5es transfusionais s\u00e3o classificadas, no Brasil de acordo com o tempo de ocorr\u00eancia, com a gravidade, correla\u00e7\u00e3o com a transfus\u00e3o e diagn\u00f3stico do evento. Veja abaixo!<\/p><p>Ap\u00f3s a identifica\u00e7\u00e3o do evento adverso \u00e9 preciso fazer a notifica\u00e7\u00e3o para a \u00e1rea de Hemovigil\u00e2ncia ou Ger\u00eancia de Risco do hospital para notifica\u00e7\u00e3o para a ANVISA.\u00a0<\/p><p>Veja como NOTIFICAR\u00a0<a style=\"background-color: #ffffff;\" href=\"http:\/\/portal.anvisa.gov.br\/hemovigilancia\/notificacoes\">aqui.<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-40beb4a\" data-id=\"40beb4a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fd4baa6 elementor-widget elementor-widget-heading\" data-id=\"fd4baa6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Classifica\u00e7\u00e3o das Rea\u00e7\u00f5es Transfusionais<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-236ec08 elementor-widget elementor-widget-toggle\" data-id=\"236ec08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3711\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-3711\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Quanto ao tempo<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3711\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-3711\"><ol><li><b>Imediata: <\/b>quando a RT ocorre durante a transfus\u00e3o ou at\u00e9 24 horas ap\u00f3s o seu in\u00edcio.<b> <\/b>\u200b<\/li><li><b>Tardia: <\/b>quando a RT ap\u00f3s 24 horas do in\u00edcio da transfus\u00e3o.\u200b<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3712\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-3712\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Quanto \u00e0 gravidade<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3712\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-3712\"><ol><li><span style=\"font-size: 1rem;\">1. Grau 1 \u2013 Leve: Aus\u00eancia de risco \u00e0 vida. Poder\u00e1 ser requerida interven\u00e7\u00e3o m\u00e9dica, mas a falta desta n\u00e3o resulta em danos permanentes ou em comprometimento de um \u00f3rg\u00e3o ou fun\u00e7\u00e3o. <br \/>2. Grau 2 \u2013 Moderado: Morbidade a longo prazo. Em consequ\u00eancia da rea\u00e7\u00e3o transfusional houve:\u00a0 necessidade de hospitaliza\u00e7\u00e3o ou prolongamento desta e\/ou defici\u00eancia ou incapacidade persistente ou significativa, ou necessidade de interven\u00e7\u00e3o m\u00e9dica ou cir\u00fargica para evitar danos permanentes, ou comprometimento de um \u00f3rg\u00e3o ou fun\u00e7\u00e3o. <br \/>3. Grau 3 \u2013 Grave: Amea\u00e7a imediata \u00e0 vida, em consequ\u00eancia da rea\u00e7\u00e3o transfusional, sem \u00f3bito atribu\u00eddo \u00e0 transfus\u00e3o. Interven\u00e7\u00e3o m\u00e9dica exigida para evitar a morte. <br \/>4. Grau 4 \u2013 \u00d3bito: \u00d3bito atribu\u00eddo \u00e0 transfus\u00e3o.<br \/>.\u200b<\/span><\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3713\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-3713\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Quanto \u00e0 correla\u00e7\u00e3o<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3713\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-3713\"><ol><li><b>Confirmada (definitiva\/certa): <\/b>a investiga\u00e7\u00e3o concluiu que h\u00e1 evid\u00eancias claras (quadro cl\u00ednico\/laboratorial, v\u00ednculo temporal), sem qualquer d\u00favida acerca da correla\u00e7\u00e3o com a transfus\u00e3o.\u200b<\/li><li><b>Prov\u00e1vel: <\/b>a investiga\u00e7\u00e3o j\u00e1 conclu\u00edda, ou ainda em curso, apresenta evid\u00eancias que indicam a correla\u00e7\u00e3o com a transfus\u00e3o, mas h\u00e1 d\u00favidas para sua confirma\u00e7\u00e3o.\u200b<\/li><li><b>Poss\u00edvel: <\/b>a investiga\u00e7\u00e3o j\u00e1 conclu\u00edda, ou ainda em curso, apresenta evid\u00eancias que indicam a correla\u00e7\u00e3o dos sinais e sintomas a outras causas, mas a correla\u00e7\u00e3o com a transfus\u00e3o n\u00e3o pode ser descartada.\u200b<\/li><li><b>Improv\u00e1vel: <\/b>a investiga\u00e7\u00e3o j\u00e1 conclu\u00edda, ou ainda em curso, apresenta evid\u00eancias que indicam a correla\u00e7\u00e3o do evento adverso a outra(s) causa(s), mas h\u00e1 d\u00favidas para a sua exclus\u00e3o.<\/li><li><b>Descartada: <\/b>a investiga\u00e7\u00e3o j\u00e1 conclu\u00edda apresenta evid\u00eancias que indicam claramente a correla\u00e7\u00e3o do evento adverso a outra(s) causa(s) e n\u00e3o \u00e0 transfus\u00e3o.\u200b<\/li><li><b>Inconclusiva: <\/b>a investiga\u00e7\u00e3o j\u00e1 conclu\u00edda n\u00e3o encontrou evid\u00eancias suficientes para confirmar ou descartar a correla\u00e7\u00e3o com a transfus\u00e3o.\u200b<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7bc9744 elementor-widget elementor-widget-image\" data-id=\"7bc9744\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/portal.anvisa.gov.br\/documents\/33868\/404938\/Marco+Conceitual+e+Operacional+de+Hemovigil%C3%A2ncia+-+Guia+para+a+Hemovigil%C3%A2ncia+no+Brasil\/495fd617-5156-447d-ad22-7211cdbab8a7\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"106\" height=\"150\" src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2019\/04\/Guia-Hemovigil\u00e2ncia.jpg\" class=\"elementor-animation-grow attachment-thumbnail size-thumbnail wp-image-899\" alt=\"\" sizes=\"100vw\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Conhe\u00e7a mais sobre as rea\u00e7\u00f5es transfusionais no  Marco Conceitual e Operacional de Hemovigil\u00e2ncia - Guia para a Hemovigil\u00e2ncia no Brasil.  ANVISA - 2016<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d0f6559 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d0f6559\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-78ee349\" data-id=\"78ee349\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4dbf71c elementor-widget-divider--view-line_icon elementor-view-default elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"4dbf71c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon elementor-divider__element\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-burn\"><\/i><\/div>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a41fd30 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a41fd30\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4466b39\" data-id=\"4466b39\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1749fbe elementor-widget elementor-widget-text-editor\" data-id=\"1749fbe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Que altera\u00e7\u00f5es seu paciente apresenta durante a transfus\u00e3o? Pode ser uma rea\u00e7\u00e3o transfusional imediata!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d0ff433 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d0ff433\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6624700\" data-id=\"6624700\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b79d43b elementor-widget elementor-widget-heading\" data-id=\"b79d43b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Febre e calafrios<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-50dcfae elementor-widget elementor-widget-accordion\" data-id=\"50dcfae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-8471\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-8471\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Rea\u00e7\u00e3o Febril N\u00e3o hemol\u00edtica<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-8471\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-8471\"><p><b>Quadro cl\u00ednico: <\/b>presen\u00e7a de febre (temperatura \u226538\u00baC) com aumento de pelo menos 1\u00b0C em rela\u00e7\u00e3o ao valor pr\u00e9-transfusional at\u00e9 24 horas ap\u00f3s a transfus\u00e3o E\/OU tremores e calafrios, durante a transfus\u00e3o ou at\u00e9 quatro horas ap\u00f3s, na aus\u00eancia de outras causas tais como contamina\u00e7\u00e3o bacteriana,<br \/>rea\u00e7\u00e3o hemol\u00edtica ou outra condi\u00e7\u00e3o subjacente. Podem ocorrer n\u00e1useas, v\u00f4mitos e cefaleia. Os sintomas podem ceder espontaneamente. A RFNH<span style=\"font-size: 1rem;\">\u00a0\u00e9 <\/span><b style=\"font-size: 1rem;\">SEMPRE<\/b><span style=\"font-size: 1rem;\"> um diagn\u00f3stico de exclus\u00e3o.\u00a0<\/span><span style=\"font-size: 1rem;\"><br \/><\/span><b style=\"font-size: 1rem;\">Incid\u00eancia: <\/b><span style=\"font-size: 1rem;\">0,1 a 1% das transfus\u00f5es ao se utilizar hemocomponentes leucorreduzidos. A frequ\u00eancia \u00e9 maior com utiliza\u00e7\u00e3o de hemocomponentes n\u00e3o modificados.\u00a0<br \/><\/span><b style=\"font-size: 1rem;\">Etiologia:<\/b><span style=\"font-size: 1rem;\"> Anticorpos no paciente contra ant\u00edgenos HLA, de neutr\u00f3filos e plaquetas presentes no hemocomponente est\u00e3o implicados no desenvolvimento do quadro de febre, tremores e calafrio.\u00a0 Outro mecanismo \u00e9 a presen\u00e7a de citocinas acumuladas durante o armazenamento podem ser respons\u00e1veis pela rea\u00e7\u00e3o, principalmente ap\u00f3s transfus\u00e3o de plaquetas.\u00a0<br \/><\/span><b style=\"font-size: 1rem;\">Apresenta\u00e7\u00e3o: <\/b><span style=\"font-size: 1rem;\">Febre, calafrios, tremores, cefaleia, v\u00f4mitos, mal-estar.\u00a0<br \/><\/span><span style=\"font-size: 1rem;\"><strong>Diagn\u00f3stico:<\/strong> Exclus\u00e3o de rea\u00e7\u00e3o hemol\u00edtica transfusional\u00a0 e contamina\u00e7\u00e3o bacteriana.\u00a0<br \/><\/span><b style=\"font-size: 1rem;\">Abordagem terap\u00eautica:<\/b><span style=\"font-size: 1rem;\"> Antit\u00e9rmicos (se febre) e meperidina (se tremores intensos &#8211; cuidado com pacientes com drive respirat\u00f3rio reduzido). Lembre-se que o mesmo cuidado b\u00e1sico de toda rea\u00e7\u00e3o imediata deve ser tomado, porque a febre pode ser indicativo de uma rea\u00e7\u00e3o mais grave!\u00a0<br \/><\/span><b style=\"font-size: 1rem;\">Profilaxia:<\/b><span style=\"font-size: 1rem;\"> Leucorredu\u00e7\u00e3o dos hemocomponentes.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-8472\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-8472\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Contamina\u00e7\u00e3o bacteriana<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-8472\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-8472\"><p><strong>Quadro cl\u00ednico:<\/strong> presen\u00e7a de febre (temperatura \u226538\u00b0C) com aumento de pelo menos 2\u00b0C em rela\u00e7\u00e3o ao valor pr\u00e9-transfusional durante a transfus\u00e3o ou at\u00e9 24 horas ap\u00f3s, sem evid\u00eancia de infec\u00e7\u00e3o pr\u00e9via. \u00c9 comum a ocorr\u00eancia de\u00a0tremores,\u00a0calafrios, hipotens\u00e3o, arterial,\u00a0taquicardia,\u00a0dispneia,\u00a0n\u00e1usea, v\u00f4mitos,\u00a0choque.\u00a0<br \/><b style=\"font-size: 1rem;\">Incid\u00eancia:<\/b><span style=\"font-size: 1rem;\"> 1:3.000 transfus\u00f5es, sendo mais frequente em concentrados de plaquetas.<br \/><\/span><b style=\"font-size: 1rem;\">Etiologia:<\/b><span style=\"font-size: 1rem;\"> Presen\u00e7a de bact\u00e9rias no hemocomponente transfundido.<br \/><\/span><b style=\"font-size: 1rem;\">Apresenta\u00e7\u00e3o:<\/b><span style=\"font-size: 1rem;\"> Febre (temperatura \u226538\u00b0C) com aumento de pelo menos 2\u00b0C em rela\u00e7\u00e3o ao valor pr\u00e9-transfusional durante a transfus\u00e3o ou at\u00e9 24 horas ap\u00f3s, calafrios, tremores, cefaleia, v\u00f4mitos, mal-estar e hipotens\u00e3o.<br \/><\/span><b style=\"font-size: 1rem;\">Diagn\u00f3stico:<\/b><span style=\"font-size: 1rem;\"> Avalia\u00e7\u00e3o do gram e cultura do componente; hemocultura do paciente com <\/span><span style=\"font-size: 1rem;\">presen\u00e7a do mesmo microrganismo no hemocomponente transfundido ou em outro hemocomponente proveniente da mesma doa\u00e7\u00e3o (co-componente);\u00a0<\/span><span style=\"font-size: 1rem;\">exclus\u00e3o de rea\u00e7\u00e3o hemol\u00edtica transfusional<br \/><\/span><b style=\"font-size: 1rem;\">Abordagem terap\u00eautica:<\/b><span style=\"font-size: 1rem;\"> Antibi\u00f3ticos de largo espectro (com ajuste ap\u00f3s resultado da cultura). Monitorizar e dar suporte \u00e0s complica\u00e7\u00f5es (choque, coagula\u00e7\u00e3o intravascular disseminada e insufici\u00eancia renal).<br \/><\/span><b style=\"font-size: 1rem;\">Profilaxia: <\/b><span style=\"font-size: 1rem;\">Cuidados na coleta e na manipula\u00e7\u00e3o dos componentes e realiza\u00e7\u00e3o de cultura rotineira, particularmente dos concentrados de plaquetas.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-8473\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-8473\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Rea\u00e7\u00e3o hemol\u00edtica imune imediata<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-8473\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-8473\"><p class=\"MsoNormal\"><b>Quadro cl\u00ednico:<\/b> rea\u00e7\u00e3o caracterizada por uma r\u00e1pida destrui\u00e7\u00e3o de eritr\u00f3citos durante a transfus\u00e3o ou at\u00e9 24 horas ap\u00f3s, por incompatibilidade ABO ou de outro sistema eritrocit\u00e1rio com presen\u00e7a de ansiedade,\u00a0agita\u00e7\u00e3o,\u00a0sensa\u00e7\u00e3o de morte iminente,\u00a0tremores\/calafrios,\u00a0rubor facial,\u00a0febre,\u00a0dor no local da venopun\u00e7\u00e3o,\u00a0dor abdominal, lombar e em flancos, hipotens\u00e3o arterial,\u00a0epistaxe,\u00a0olig\u00faria\/an\u00faria, insufici\u00eancia renal,\u00a0hemoglobin\u00faria,\u00a0coagula\u00e7\u00e3o intravascular disseminada (CIVD),\u00a0sangramento no local da venopun\u00e7\u00e3o, choque. A avalia\u00e7\u00e3o laboratorial do paciente demonstra\u00a0teste de hem\u00f3lise positivo na amostra do paciente, e pelo menos\u00a0<br \/>dois dos seguintes resultados:<br \/>\u2022 teste de antiglobulina direto positivo para anti-IgG ou anti-C3;<br \/>\u2022 teste de elui\u00e7\u00e3o positivo;<br \/>\u2022 lactato desidrogenase elevada;<br \/>\u2022 bilirrubina indireta elevada;<br \/>\u2022 queda de hemoglobina e hemat\u00f3crito;<br \/>\u2022 haptoglobina baixa;<br \/>\u2022 hemoglobin\u00faria;<br \/>\u2022 fibrinog\u00eanio baixo ou hemoglobina livre aumentada.<br \/><span style=\"font-size: 1rem;\"><b>Incid\u00eancia:<\/b> 1:76.000, com 1 \u00f3bito em 1.800.000 transfus\u00f5es.<br \/><b>Etiologia:<\/b> Presen\u00e7a de anticorpos &#8220;naturais&#8221; ou imunes no plasma do receptor contra ant\u00edgenos eritrocit\u00e1rios do doador ou o oposto.<br \/><b>Apresenta\u00e7\u00e3o:<\/b> Febre, calafrios, tremores, hemoglobin\u00faria, hipotens\u00e3o, insufici\u00eancia renal aguda com olig\u00faria, coagula\u00e7\u00e3o intravascular disseminada (com sangramentos em s\u00edtios de pun\u00e7\u00e3o), dor lombar, dor no local da infus\u00e3o, ansiedade. Lembrar que \u00e9 uma rea\u00e7\u00e3o ant\u00edgeno-anticorpo e, portanto, se paciente imunossuprimido, os sinais e sintomas podem n\u00e3o ser t\u00e3o evidentes.<br \/><b>Diagn\u00f3stico: Confer\u00eancia de todas as etapas\u00a0<\/b>do processo em busca de erro clerical, teste direto da antiglobulina (Coombs direto), presen\u00e7a de hem\u00f3lise no plasma\/soro sobrenadante, presen\u00e7a de hemoglobin\u00faria, repeti\u00e7\u00e3o dos testes pr\u00e9-transfusionais e coleta de amostras p\u00f3s-transfusionais para novos testes, avalia\u00e7\u00e3o de provas de hem\u00f3lise (repeti\u00e7\u00e3o de hemograma, LDH e bilirrubinas).<br \/><b>Abordagem terap\u00eautica:<\/b> Manter diurese maior que 1 mL\/kg\/h com hidrata\u00e7\u00e3o e diur\u00e9tico, analg\u00e9sicos, suporte hemodin\u00e2mico e transfus\u00e3o de plasma, crioprecipitado e plaquetas, se sangramento.<br \/><strong>Profilaxia:<\/strong> Se erro clerical, rever e melhorar o processo. Se anticorpos irregulares, manter dados por tempo indeterminado. Informar paciente sobre anticorpo irregular para transfus\u00f5es futuras.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-8474\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-8474\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Hem\u00f3lise n\u00e3o imune<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-8474\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-8474\"><p class=\"MsoNormal\"><b>Quadro cl\u00ednico:<\/b> caracteriza-se por hem\u00f3lise, durante a transfus\u00e3o ou at\u00e9 24 horas ap\u00f3s, com ou sem sintomas cl\u00ednicos<br \/>significativos, sem evid\u00eancia de causa imunol\u00f3gica associada \u00e0 presen\u00e7a de hemoglobina livre no plasma (hemoglobinemia) e\/ou na urina (hemoglobin\u00faria).<br \/><span style=\"font-size: 1rem;\"><b>Incid\u00eancia:<\/b> Rara. <br \/><b>Etiologia: <\/b>Destrui\u00e7\u00e3o f\u00edsico-qu\u00edmico das hem\u00e1cias (aquecimento, congelamento, adi\u00e7\u00e3o de drogas e solu\u00e7\u00f5es no hemocomponente ou na mesma via de infus\u00e3o, press\u00e3o excessiva, utiliza\u00e7\u00e3o de componentes ap\u00f3s o prazo de validade).<br \/><\/span><span style=\"font-size: 1rem;\"><b>Apresenta\u00e7\u00e3o:<\/b> Quadro cl\u00ednico semelhante \u00e0 hem\u00f3lise imune, se grave. Pode se apresentar apenas com hemoglobinemia e hemoglobin\u00faria.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Diagn\u00f3stico:<\/b> Descartar hem\u00f3lise imune (teste direto de antiglobulina (Coombs direto negativo), realiza\u00e7\u00e3o novamente dos testes pr\u00e9-transfusionais com amostras pr\u00e9 e p\u00f3s-transfusional, confirmando a aus\u00eancia de causa imune) e confirmar hem\u00f3lise (inspe\u00e7\u00e3o visual da amostra p\u00f3s transfusional e percentagem de hem\u00f3lise no componente).<br \/><\/span><span style=\"font-size: 1rem;\"><b>Abordagem terap\u00eautica:<\/b> Suporte respirat\u00f3rio e hemodin\u00e2mico. Manter diurese acima de 1mL\/kg\/h, com hidrata\u00e7\u00e3o e furosemida.<br \/><strong>Profilaxia:<\/strong> Identificar e eliminar causa da hem\u00f3lise. O concentrado de hem\u00e1cias deve ser armazenado em c\u00e2mara de conserva\u00e7\u00e3o, espec\u00edfica para esse fim, com temperatura controlada, homog\u00eanea e validada entre 2 e 6\u00b0C.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-8475\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-8475\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Dicas do EducaSangue<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-8475\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-8475\"><p>Conhe\u00e7a as dicas do\u00a0<a href=\"https:\/\/preservasangue.com.br\/index.php\/educasangue\/\">EducaSangue<\/a>\u00a0sobre as Rea\u00e7\u00f5es Transfusionais Imediatas<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bf14fa5\" data-id=\"bf14fa5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2d53f47 elementor-widget elementor-widget-heading\" data-id=\"2d53f47\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dispneia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f675e34 elementor-widget elementor-widget-accordion\" data-id=\"f675e34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2581\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2581\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Sobrecarga circulat\u00f3ria associada \u00e0 transfus\u00e3o - TACO <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2581\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2581\"><p><b>TACO &#8211; Transfusion Associated Circulatory Overload<\/b><\/p><p><b>Quadro cl\u00ednico:<\/b> Sintomas associados a quadro de sobrecarga vol\u00eamica. O paciente pode apresentar hipoxemia, dispneia, ortopneia, tosse, insufici\u00eancia respirat\u00f3ria, taquicardia, hipertens\u00e3o, cefaleia, turg\u00eancia jugular, pletora.<br \/><b>Incid\u00eancia:<\/b> &lt;1%. Principal causa de \u00f3bito relacionado \u00e0 transfus\u00e3o nos Estados Unidos e na Europa e terceira no Brasil.<br \/><span style=\"font-size: 1rem;\"><b>Etiologia:<\/b> Sobrecarga de volume. Associada a transfus\u00f5es de grandes volumes ou em velocidade de infus\u00e3o acima do suport\u00e1vel para o paciente. Neonatos, pacientes idosos ou com comprometimento da fun\u00e7\u00e3o card\u00edaca s\u00e3o mais suscept\u00edveis a desenvolver essa rea\u00e7\u00e3o.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Diagn\u00f3stico:<\/b> O diagn\u00f3stico \u00e9 cl\u00ednico-radiol\u00f3gico (SEMPRE FAZER IMAGEM DE T\u00d3RAX, SE DISPNEIA). A coleta de pr\u00f3-BNP pode ajudar no diagn\u00f3stico diferencial com outras causas de dispneia associada \u00e0 transfus\u00e3o, como o Edema Pulmonar n\u00e3o Cardiog\u00eanico (transfusion related acute lung injury &#8211; TRALI).<br \/><\/span><span style=\"font-size: 1rem;\"><b>Abordagem terap\u00eautica:<\/b> Sentar o paciente, oferecer suporte respirat\u00f3rio, furosemida e morfina.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Profilaxia: <\/b>Infus\u00e3o lenta de hemocomponentes (1mL\/kg\/h) em pacientes com insufici\u00eancia card\u00edaca, renal ou idosos. Transfus\u00e3o de hemocomponentes aliquotados e uso de diur\u00e9ticos quando necess\u00e1rio. Em pacientes de maior risco para sobrecarga vol\u00eamica pode-se reduzir a velocidade de infus\u00e3o a partir da aliquotagem do componente, o que proporciona ummaior tempo de infus\u00e3o sem desrespeitar o tempo m\u00e1ximo de exposi\u00e7\u00e3o do componente em temperaturas n\u00e3o controladas.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2582\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2582\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Les\u00e3o pulmonar aguda associada \u00e0 transfus\u00e3o - TRALI<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2582\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2582\"><p><strong>TRALI -Transfusion Related Acute Lung Injury<\/strong><\/p><p><strong>Quadro cl\u00ednico:<\/strong> Hipoxemia, insufici\u00eancia respirat\u00f3ria, hipotens\u00e3o, febre, edema pulmonar bilateral. Ocorre at\u00e9 seis horas depois da transfus\u00e3o. Maior risco associado a componentes que cont\u00e9m plasma. N\u00e3o h\u00e1 associa\u00e7\u00e3o entre o quadro pulmonar e sobrecarga de volume. O paciente necessita de assist\u00eancia ventilat\u00f3ria na maioria das vezes e o quadro melhora significativamente em 48 a 72 horas.<br \/><b>Incid\u00eancia: <\/b>1:1.200 a 1:190.000 transfus\u00f5es. Principal causa de \u00f3bito relacionado \u00e0 transfus\u00e3o nos Estados Unidos.<br \/><span style=\"font-size: 1rem;\"><b>Etiologia:<\/b> Presen\u00e7a de anticorpos anti-HLA no hemocomponente do doador (ocasionalmente no receptor), outras agentes ativadores de leuc\u00f3citos no hemocomponente.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Diagn\u00f3stico:<\/b> O diagn\u00f3stico \u00e9 cl\u00ednico-radiol\u00f3gico (SEMPRE FAZER IMAGEM DE T\u00d3RAX, SE DISPNEIA), por\u00e9m \u00e9 necess\u00e1rio descartar hem\u00f3lise, contamina\u00e7\u00e3o bacteriana e edema pulmonar cardiog\u00eanico ou sobrecarga circulat\u00f3ria. Se poss\u00edvel, realizar triagem de anticorpos anti-HLA no doador e receptor. Se positiva, tipagem HLA pode ser realizada, assim como prova cruzada de leuc\u00f3citos.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Abordagem terap\u00eautica: <\/b>Suporte respirat\u00f3rio e hemodin\u00e2mico<br \/><\/span><span style=\"font-size: 1rem;\"><b>Profilaxia:<\/b> Relacionada ao doador, que, segundo orienta\u00e7\u00e3o do Minist\u00e9rio da Sa\u00fade no Brasil n\u00e3o devem ser liberados para doa\u00e7\u00e3o de plaquetas por af\u00e9rese, mas podem doar sangue total. A Associa\u00e7\u00e3o Americana de Bancos de Sangue &#8211; AABB considera inapto todo doador associado a TRALI. Cada servi\u00e7o de hemoterpia deve determinar medidas de preven\u00e7\u00e3o ao TRALI, normalmente associadas a restri\u00e7\u00e3o de doa\u00e7\u00e3o de plaquetas por af\u00e9rese para mulheres multigestas e envio de plasma\u00a0 feminino para produ\u00e7\u00e3o de hemoderivados<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2583\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2583\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Dispneia associada \u00e0 transfus\u00e3o<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2583\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2583\"><p>Quando o paciente apresenta dispneia e o quadro cl\u00ednico e radiol\u00f3gico excluem TACO ou TRALI, o diagn\u00f3stico da rea\u00e7\u00e3o \u00e9 de Dispneia Associada \u00e0 Transfus\u00e3o.\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2584\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2584\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Dicas do EducaSangue<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2584\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2584\"><p>Conhe\u00e7a as dicas do\u00a0<a href=\"https:\/\/preservasangue.com.br\/index.php\/educasangue\/\">EducaSangue<\/a>\u00a0sobre as Rea\u00e7\u00f5es Transfusionais Imediatas<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3f45bf4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3f45bf4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f373484\" data-id=\"f373484\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e71a494 elementor-widget elementor-widget-heading\" data-id=\"e71a494\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Prurido<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bea7027 elementor-widget elementor-widget-accordion\" data-id=\"bea7027\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1991\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1991\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Rea\u00e7\u00e3o al\u00e9rgica<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1991\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1991\"><p><b>Quadro cl\u00ednico:<\/b> aparecimento de rea\u00e7\u00e3o de hipersensibilidade (alergia) durante a transfus\u00e3o ou at\u00e9 quatro horas ap\u00f3s. O caso confirmado deve apresentar dois ou mais dos seguintes sinais e sintomas: p\u00e1pulas, prurido, urtic\u00e1ria,edema labial, de l\u00edngua e de \u00favula ou periorbital\/conjuntival, tosse, rouquid\u00e3o.<br \/><b>Incid\u00eancia:<\/b> 1 a 3% das transfus\u00f5es.<br \/><b>Etiologia:<\/b> Presen\u00e7a no receptor de anticorpos contra prote\u00ednas plasm\u00e1ticas do doador.Apresenta\u00e7\u00e3o: Urtic\u00e1ria, prurido, rash, angioedema, insufici\u00eancia respirat\u00f3ria, choque anafil\u00e1tico.<br \/><b>Diagn\u00f3stico cl\u00ednico:<\/b> Nos casos graves: se choque, afastar rea\u00e7\u00e3o hemol\u00edtica e contamina\u00e7\u00e3o bacteriana, e, se insufici\u00eancia respirat\u00f3ria, afastar TRALI e sobrecarga vol\u00eamica.<br \/><b>Abordagem terap\u00eautica: <\/b>Anti-histam\u00ednicos, corticoide e adrenalina (se rea\u00e7\u00e3o grave).<br \/><b>Profilaxia: <\/b>Anti-histam\u00ednico (controverso), corticoide e hemocomponentes lavados (se rea\u00e7\u00e3o transfusional al\u00e9rgica grave anterior).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1992\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1992\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Rea\u00e7\u00e3o al\u00e9rgica anafil\u00e1tica<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1992\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1992\"><p class=\"MsoNormal\"><b>Quadro cl\u00ednico:<\/b> na rea\u00e7\u00e3o anafil\u00e1tica (rea\u00e7\u00e3o al\u00e9rgica grave) os sinais e sintomas ocorrem rapidamente, em poucos segundos ou minutos ap\u00f3s o in\u00edcio da transfus\u00e3o. Observam-se, obrigatoriamente, dist\u00farbios respirat\u00f3rios e os seguintes sintomas:\u00a0edema de laringe,\u00a0cianose,\u00a0insufici\u00eancia respirat\u00f3ria,\u00a0broncoespasmo,\u00a0estridor respirat\u00f3rio. Podem ocorrer tamb\u00e9m: ansiedade, taquicardia, perda da<br \/>consci\u00eancia, hipotens\u00e3o arterial e choque.<br \/><b>Incid\u00eancia:<\/b> 1:20.000-1:50.000 unidades transfundidas.<br \/><span style=\"font-size: 1rem;\"><b>Etiologia:<\/b>\u00a0presen\u00e7a de anticorpos no receptor contra prote\u00ednas no plasma do doador. Pode estar relacionada \u00e0 defici\u00eancia de IgA, C4 e haptoglobina (popula\u00e7\u00e3o japonesa).<br \/><b>Apresenta\u00e7\u00e3o: <\/b>Nos primeiros segundos a minutos do in\u00edcio da transfus\u00e3o: edema de laringe, cianose, insufici\u00eancia respirat\u00f3ria, broncoespasmo, estridor respirat\u00f3rio, ansiedade, taquicardia, perda da consci\u00eancia, hipotens\u00e3o arterial e choque.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Diagn\u00f3stico:<\/b> Exclus\u00e3o de rea\u00e7\u00e3o hemol\u00edtica transfusional e contamina\u00e7\u00e3o bacteriana (se choque) e TRALI e sobrecarga vol\u00eamica (se insufici\u00eancia respirat\u00f3ria). Colher dosagem de IgA, C4 e haptoglobina (se descend\u00eancia japonesa) do receptor. Se defici\u00eancia de IgA, confirmar com anticorpo anti-IgA.<br \/><b>Abordagem terap\u00eautica: <\/b>Posi\u00e7\u00e3o de Trendelemburg, hidrata\u00e7\u00e3o vigorosa, anti-histam\u00ednico, beta2-agonistas, corticoide e adrenalina (preferencialmente).<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1993\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1993\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Dicas do EducaSangue<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1993\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1993\"><p>Conhe\u00e7a as dicas do <a href=\"https:\/\/preservasangue.com.br\/index.php\/educasangue\/\">EducaSangue<\/a> sobre as Rea\u00e7\u00f5es Transfusionais Imediatas<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-54cecb0\" data-id=\"54cecb0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5000246 elementor-widget elementor-widget-heading\" data-id=\"5000246\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Hipotens\u00e3o<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eeeb699 elementor-widget elementor-widget-accordion\" data-id=\"eeeb699\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2501\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2501\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Rea\u00e7\u00e3o hipotensiva<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2501\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2501\"><p><span style=\"font-weight: bold;\">Incid\u00eancia:<\/span>\u00a0Depende do cen\u00e1rio cl\u00ednico.<br \/><span style=\"font-size: 1rem;\"><span style=\"font-weight: bold;\">Etiologia:\u00a0<\/span>Inibi\u00e7\u00e3o do metabolismo da bradicinina com infus\u00e3o de bradicinina ou ativadores da pr\u00e9-calicre\u00edna, relacionada ao uso, pelo receptor, de inibidores da enzima conversora de angiotensina (ECA) e ao uso de filtros de hemocomponentes \u00e0 beira do leito.<br \/><\/span><span style=\"font-size: 1rem;\"><span style=\"font-weight: bold;\">Apresenta\u00e7\u00e3o:\u00a0<\/span>Rubor e hipotens\u00e3o.<br \/><\/span><span style=\"font-size: 1rem;\"><span style=\"font-weight: bold;\">Diagn\u00f3stico:<\/span> Exclus\u00e3o de rea\u00e7\u00e3o hemol\u00edtica transfusional, contamina\u00e7\u00e3o bacteriana e rea\u00e7\u00e3o al\u00e9rgica grave (choque anafil\u00e1tico).<br \/><\/span><span style=\"font-size: 1rem;\"><span style=\"font-weight: bold;\">Abordagem terap\u00eautica:<\/span>\u00a0Posi\u00e7\u00e3o de Trendelemburg e hidrata\u00e7\u00e3o. Na rea\u00e7\u00e3o hipotensiva, a resposta \u00e0 suspens\u00e3o da transfus\u00e3o \u00e9 r\u00e1pida.<br \/><\/span><span style=\"font-size: 1rem;\"><span style=\"font-weight: bold;\">Profilaxia:<\/span>\u00a0Evitar filtro a beira do leito, principalmente em pacientes em uso de inibidores da ECA.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2502\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2502\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Rea\u00e7\u00f5es imediatas de maior gravidade<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2502\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2502\"><p>A hipotens\u00e3o \u00e9 um sintoma que est\u00e1 presente em v\u00e1rias rea\u00e7\u00f5es imediatas de maior gravidade associada a outros sintomas de maior ou menor import\u00e2ncia cl\u00ednica. quando presente nunca deve ser desvalorizada.<\/p><p><b>Rea\u00e7\u00f5es associadas a hipotens\u00e3o:<\/b><br \/><span style=\"font-size: 1rem;\">Contamina\u00e7\u00e3o Bacteriana (associada a febre)<br \/><\/span><span style=\"font-size: 1rem;\">Rea\u00e7\u00e3o hemol\u00edtica imune (associada a febre)<br \/><\/span><span style=\"font-size: 1rem;\">Rea\u00e7\u00e3o hemol\u00edtica n\u00e3o imune (associada a febre)<br \/><\/span><span style=\"font-size: 1rem;\">TRALI (associada a dispneia)<br \/><\/span><span style=\"font-size: 1rem;\">Rea\u00e7\u00e3o al\u00e9rgica anafil\u00e1tica (associada a dispneia)<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2503\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2503\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Dicas do EducaSangue<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2503\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2503\"><p>Conhe\u00e7a as dicas do\u00a0<a href=\"https:\/\/preservasangue.com.br\/index.php\/educasangue\/\">EducaSangue<\/a> sobre as Rea\u00e7\u00f5es Transfusionais Imediatas.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d280bce elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d280bce\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-abb7690\" data-id=\"abb7690\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c1aa997 elementor-widget-divider--view-line_icon elementor-view-default elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"c1aa997\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon elementor-divider__element\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-burn\"><\/i><\/div>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-13adbc2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"13adbc2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4e1e962\" data-id=\"4e1e962\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f23d8f5 elementor-widget elementor-widget-text-editor\" data-id=\"f23d8f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>E as rea\u00e7\u00f5es tardias? Veja quais s\u00e3o e como reconhecer.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5f82998 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5f82998\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-26cef18\" data-id=\"26cef18\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cc7679b elementor-widget elementor-widget-heading\" data-id=\"cc7679b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Imunol\u00f3gicas<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-351624d elementor-widget elementor-widget-accordion\" data-id=\"351624d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5561\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-5561\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Rea\u00e7\u00e3o hemol\u00edtica imune tardia<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-5561\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-5561\"><p><b>Lembre-se que existem mais de 360 ant\u00edgenos eritrocit\u00e1rios descritos<\/b> e que existe um anticorpo identificado contra cada um desses ant\u00edgenos, podendo levar a rea\u00e7\u00f5es hemol\u00edticas imediatas e tardias e, quando IgG, \u00e0 doen\u00e7a hemol\u00edtica do feto e do rec\u00e9m-nascido.<\/p><p><b>Incid\u00eancia: <\/b>1:2.500 a 1:11.000 transfus\u00f5es.<br \/><span style=\"font-size: 1rem;\"><b>Etiologia: <\/b>Resposta imune anamn\u00e9stica a ant\u00edgenos eritrocit\u00e1rios.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Apresenta\u00e7\u00e3o:<\/b> Febre, queda da hemoglobina, nova pesquisa de anticorpos irregulares positiva, icter\u00edcia discreta. Muitas vezes assintom\u00e1tica.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Diagn\u00f3stico: <\/b>Pesquisa de anticorpos irregulares positiva, teste direto da antiglobulina (Coombs direto) positivo, com eluato demonstrando o anticorpo, aumento de LDH, bilirrubina indireta, redu\u00e7\u00e3o de haptoglobina.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Abordagem terap\u00eautica:<\/b> Normalmente n\u00e3o h\u00e1 necessidade de tratamento &#8211; hem\u00f3lise autolimitada. A exce\u00e7\u00e3o \u00e9 uma rea\u00e7\u00e3o hemol\u00edtica tardia com alta mortalidade, a S\u00edndrome de Hiperem\u00f3lise, que ocorre principalmente em portadores de hemoglobinopatias.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Profilaxia:<\/b> Identifica\u00e7\u00e3o de todo anticorpo irregular &#8211; Pesquisa de anticorpos irregulares (PAI, Coombs Indireto) positiva \u00e9 igual a identifica\u00e7\u00e3o do anticorpo. Manter registros transfusionais atualizados. Informar o paciente sobre o anticorpo identificado, que deve ser respeitado em todas as transfus\u00f5es. Sempre transfundir concentrados de hem\u00e1cias negativos para o ant\u00edgeno correspondente ao anticorpo identificado.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5562\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-5562\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Doen\u00e7a do enxerto contra o hospedeiro p\u00f3s-transfusional (DECH-PT)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-5562\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-5562\"><p><b>Incid\u00eancia:<\/b> Rara.<br \/><span style=\"font-size: 1rem;\"><b>Etiologia:<\/b> Transfus\u00e3o de hemocomponentes celulares com linf\u00f3citos vi\u00e1veis provenientes de parentes de primeiro grau do receptor ou de doadores HLA compat\u00edveis e transfus\u00e3o de hemocomponentes n\u00e3o irradiados em receptores imunossuprimidos graves.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Apresenta\u00e7\u00e3o:<\/b> Febre, diarreia, eritema com erup\u00e7\u00e3o m\u00e1culo-papular central que se espalha para as extremidades e pode, em casos graves, progredir para eritrodermia generalizada e forma\u00e7\u00e3o de bolhas hemorr\u00e1gicas, hepatomegalia, altera\u00e7\u00e3o de fun\u00e7\u00e3o hep\u00e1tica (aumento de fosfatase alcalina, transaminases e bilirrubina), pancitopenia, aplasia de medula \u00f3ssea. Mortalidade acima de 90%.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Diagn\u00f3stico: <\/b>Quadro cl\u00ednico sugestivo e resultado de bi\u00f3psia de pele ou de outros \u00f3rg\u00e3os comprometidos compat\u00edvel com a DECH OU presen\u00e7a de quimerismo leucocit\u00e1rio.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Abordagem terap\u00eautica: <\/b>Foram feitas tentativas de tratamento com uma variedade de agentes imunossupressores, entretanto com manuten\u00e7\u00e3o de mortalidade alt\u00edssima. Existem poucos relatos de sobrevida, geralmente associados com transplante de c\u00e9lulas precursoras hematopoi\u00e9ticas.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Profilaxia: <\/b>Irradia\u00e7\u00e3o de hemocomponentes celulares transfundidos em grupos de risco.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5563\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-5563\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Aloimuniza\u00e7\u00e3o ou aparecimento de anticorpos irregulares  <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-5563\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-5563\"><p><span style=\"font-size: 1rem;\"><b>Incid\u00eancia:<\/b> 1 a cada 100 transfus\u00f5es. A frequ\u00eancia de aloimuniza\u00e7\u00e3o depende da popula\u00e7\u00e3o estudada, chegando a mais de 50% em pacientes falciformes.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Etiologia: <\/b>Resposta imune a ant\u00edgenos eritrocit\u00e1rios estranhos.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Apresenta\u00e7\u00e3o:<\/b> Assintom\u00e1tica.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Diagn\u00f3stico: <\/b>Pesquisa de anticorpos irregulares (Coombs indireto) positiva (SEMPRE IDENTIFICAR O ANTICORPO) e TAD (teste direto de antiglobulina &#8211; Coombs direto) com eluato positivo por anticorpo irregular.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Abordagem terap\u00eautica:<\/b> N\u00e3o se aplica.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Profilaxia: <\/b>Fenotipagem dos receptores com alto risco de aloimuniza\u00e7\u00e3o e daqueles que entrar\u00e3o em esquema de transfus\u00e3o cr\u00f4nica. Respeitar pelo menos fenotipagem Rh (C, c, E, e) e Kell desses receptores, fornecendo concentrados de hem\u00e1cias fen\u00f3tipo-compat\u00edveis. Respeitar fenotipagem estendida de pacientes j\u00e1 aloimunizados, se poss\u00edvel, com o intuito de inibir o aparecimento de novos aloanticorpos.<\/span><\/p><p><span style=\"font-size: 1rem;\">SEMPRE INFORMAR AO PACIENTE QUE ELE APRESENTA UM ANTICORPO IRREGULAR, QUE PODE CAUSAR REA\u00c7\u00d5ES HEMOL\u00cdTICAS E, SE MULHER COM MENOS DE 50 ANOS, DOEN\u00c7A HEMOL\u00cdTICA DO FETO E DO REC\u00c9M-NASCIDO. A informa\u00e7\u00e3o ao paciente e a manuten\u00e7\u00e3o de registros nos servi\u00e7os transfusionais s\u00e3o essenciais para um cuidado adequado.<\/span><\/p><p>Evitar transfus\u00f5es desnecess\u00e1rias. <br \/><b>A melhor transfus\u00e3o \u00e9 a que n\u00e3o foi realizada!<\/b><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5564\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-5564\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">P\u00farpura p\u00f3s-transfusional (PPT)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-5564\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-5564\"><p><b>Incid\u00eancia: <\/b>Rara<br \/><span style=\"font-size: 1rem;\"><b>Etiologia: <\/b>Anticorpos antiplaquet\u00e1rios no receptor (aloanticorpos, em 70% dos casos, anti-HPA-1a), que destroem as plaquetas aut\u00f3logas.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Apresenta\u00e7\u00e3o: <\/b>P\u00farpura trombocitop\u00eanica, com sangramento entre 1 a 24 dias (m\u00e9dia de 9 dias) ap\u00f3s a transfus\u00e3o, em pacientes com hist\u00f3rico transfusional e\/ou gestacional. A trombocitopenia geralmente \u00e9 grave, com contagens abaixo de 10.000\/mm3. Pode ocorrer ap\u00f3s a transfus\u00e3o de qualquer hemocomponente, por\u00e9m \u00e9 mais frequente ap\u00f3s transfus\u00e3o de hem\u00e1cias e sangue total.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Diagn\u00f3stico:<\/b> Queda das plaquetas ap\u00f3s a transfus\u00e3o, com presen\u00e7a de anticorpos anti-HPA.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Abordagem terap\u00eautica:<\/b> Imunoglobulina humana intravenosa, transfus\u00e3o de plaquetas HPA compat\u00edveis, plasmaf\u00e9rese. A mortalidade varia de 0-12,8%, geralmente associada a sangramento intracraniano.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Profilaxia:<\/b> A utiliza\u00e7\u00e3o de hemocomponentes filtrados aparentemente reduz o risco dessa rea\u00e7\u00e3o. Se paciente apresentou PPT pr\u00e9via, existe um risco pequeno de recorr\u00eancia, portanto recomenda-se transfundir hemocomponentes HPA compat\u00edveis ou aut\u00f3logos, se poss\u00edvel.\u00a0<\/span><\/p><p>Evitar transfus\u00f5es desnecess\u00e1rias.\u00a0<br \/><span style=\"font-size: 1rem;\"><b>A melhor transfus\u00e3o \u00e9 a que n\u00e3o foi realizada!<\/b><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5565\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-5565\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Dicas do EducaSangue<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-5565\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-5565\"><p>Conhe\u00e7a as dicas do\u00a0<a href=\"https:\/\/preservasangue.com.br\/index.php\/educasangue\/\">EducaSangue<\/a> sobre as Rea\u00e7\u00f5es Transfusionais Tardias<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6595e2e\" data-id=\"6595e2e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0524d7f elementor-widget elementor-widget-heading\" data-id=\"0524d7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">N\u00e3o imunol\u00f3gicas<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15852f4 elementor-widget elementor-widget-accordion\" data-id=\"15852f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2251\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2251\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Transmiss\u00e3o de doen\u00e7as infecciosas<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2251\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2251\"><p>Essa \u00e9 uma das complica\u00e7\u00f5es mais temidas da transfus\u00e3o!<br \/>Os hemocomponentes que transfundimos hoje s\u00e3o muito seguros por causa do altru\u00edsmo da doa\u00e7\u00e3o, da regulamenta\u00e7\u00e3o rigorosa da triagem cl\u00ednica e de t\u00e9cnicas muito sens\u00edveis de identifica\u00e7\u00e3o de pat\u00f3genos. Os v\u00edrus de triagem obrigat\u00f3ria no Brasil s\u00e3o: HIV, Hepatites B e C, HTLV I\/II, al\u00e9m do T. pallidum e do Trypanosoma cruzi. Para HIV e Hepatites B e C, al\u00e9m de anticorpos espec\u00edficos,\u00a0 tamb\u00e9m \u00e9 pesquisado o material gen\u00e9tico viral atrav\u00e9s do teste NAT (m\u00e9todo de detec\u00e7\u00e3o do DNA\/RNA viral por PCR em tempo real). No entanto, o laborat\u00f3rio n\u00e3o \u00e9 capaz de identificar a contamina\u00e7\u00e3o em 100% dos casos, por causa da janela imunol\u00f3gica. Por isso o risco residual de transmiss\u00e3o de doen\u00e7as persiste. Novos agentes transmiss\u00edveis pela transfus\u00e3o ainda poem ser identificados. Por isso, o risco de transmiss\u00e3o sempre vai existir.<\/p><p><span style=\"font-size: 1rem;\"><b>Incid\u00eancia: <\/b>Risco residual nos Estados Unidos: HIV: 1:1.470.000; Hepatite C: 1:1.149.000; Hepatite B: 1:843.000-1:1.208.000. <b>Outros agentes:<\/b> risco desconhecido.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Etiologia:<\/b> Infec\u00e7\u00e3o no doador de sangue.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Apresenta\u00e7\u00e3o:<\/b> Depende da doen\u00e7a de base. Muitas vezes descoberto em exames de rotina.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Diagn\u00f3stico:<\/b> Receptor apresenta infec\u00e7\u00e3o p\u00f3s-transfusional (v\u00edrus, parasitas ou outros agentes infecciosos, exceto bact\u00e9rias), sem evid\u00eancia da exist\u00eancia dessa infec\u00e7\u00e3o antes da transfus\u00e3o; <b>E<\/b><br \/><\/span><span style=\"font-size: 1rem;\">aus\u00eancia de uma fonte alternativa da infec\u00e7\u00e3o; E doador de hemocomponente transfundido no receptor apresenta evid\u00eancia da mesma infec\u00e7\u00e3o; <br \/><b>OU<\/b> <br \/>hemocomponente transfundido no receptor apresenta evid\u00eancias do mesmo agente infeccioso.\u00a0<br \/><\/span><span style=\"font-size: 1rem;\"><b>Abordagem terap\u00eautica:<\/b> Varia conforme a doen\u00e7a.<br \/><\/span><span style=\"font-size: 1rem;\"><b>Profilaxia: <\/b>Triagem cl\u00ednica, sorol\u00f3gica e molecular rigorosa de doadores e transfus\u00e3o bem indicada (a melhor transfus\u00e3o \u00e9 a que n\u00e3o foi realizada)\u00a0<\/span><\/p><p>Lembre-se de sempre perguntar ao paciente que apresenta alguma doen\u00e7a que pode ser transmitida por transfus\u00e3o se o mesmo j\u00e1 foi transfundido. Se a resposta for positiva, notifique o servi\u00e7o transfusional, que abrir\u00e1 um processo de rastreabilidade.\u00a0<\/p><p><b>A melhor transfus\u00e3o \u00e9 a que n\u00e3o foi realizada!<\/b><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2252\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2252\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Hemossiderose<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2252\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2252\"><p><span style=\"font-weight: bold;\">Incid\u00eancia:\u00a0<\/span>Ocorre tipicamente com transfus\u00e3o acima de 50 unidades de concentrado de hem\u00e1cias (CH).<br \/><span style=\"font-weight: bold;\">Etiologia:\u00a0<\/span>M\u00faltiplas transfus\u00f5es de CH em pacientes sem sangramento. Uma unidade de CH cont\u00e9m aproximadamente 250 mg de ferro. A taxa m\u00e9dia de excre\u00e7\u00e3o de ferro \u00e9 de 1 mg por dia. Com a transfus\u00e3o de 10 a 15 CH, a transferrina se torna saturada e come\u00e7a a haver dep\u00f3sito de ferro nos tecidos.<br \/><span style=\"font-weight: bold;\">Apresenta\u00e7\u00e3o:<\/span>\u00a0Relacionada ao \u00f3rg\u00e3o acometido. Pode ocorrer hipogonadismo, diabetes, hipotireoidismo, hipoparatireoidismo, les\u00e3o hep\u00e1tica e card\u00edaca, com ocorr\u00eancia de insufici\u00eancia card\u00edaca e arritmias, relacionada \u00e0 mortalidade.<br \/>Diagn\u00f3stico:\u00a0<span style=\"font-weight: bold;\">Ferritina acima de 1000 microgramas\/L em paciente\u00a0<\/span>politransfundido. Pode-se fazer resson\u00e2ncia do f\u00edgado e cora\u00e7\u00e3o para mensura\u00e7\u00e3o da quantidade de ferro depositado e o risco de complica\u00e7\u00f5es. Avalia\u00e7\u00e3o laboratorial e de imagem de \u00f3rg\u00e3os possivelmente acometidos.<br \/><span style=\"font-weight: bold;\">Abordagem terap\u00eautica:<\/span>\u00a0Quela\u00e7\u00e3o de ferro nos pacientes cronicamente transfundidos; sangria naqueles com cura da doen\u00e7a de base e hemoglobina adequada.<br \/><span style=\"font-weight: bold;\">Profilaxia:<\/span>\u00a0Quela\u00e7\u00e3o de ferro de pacientes em esquema transfusional cr\u00f4nico.\u00a0<\/p><p>Evitar transfus\u00f5es desnecess\u00e1rias e sempre avaliar a causa da anemia.\u00a0<\/p><p><span style=\"font-weight: bold;\">A melhor transfus\u00e3o \u00e9 a que n\u00e3o foi realizada!<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2253\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2253\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Outra RT tardia <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2253\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2253\"><p>Quadro clinico\/laboratorial com aparecimento 24 horas ap\u00f3s a transfus\u00e3o, que ap\u00f3s investiga\u00e7\u00e3o n\u00e3o foi poss\u00edvel ser classificado em nenhuma das RT descritas, tendo sido exclu\u00eddas outras causas n\u00e3o relacionadas \u00e0 transfus\u00e3o.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2254\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2254\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Dicas do EducaSangue<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2254\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2254\"><p>Conhe\u00e7a as dicas do\u00a0<a href=\"https:\/\/preservasangue.com.br\/index.php\/educasangue\/\">EducaSangue<\/a> sobre as Rea\u00e7\u00f5es Transfusionais Tardias<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2a8810b elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"2a8810b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5033a52\" data-id=\"5033a52\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2d5562a elementor-widget-divider--view-line_icon elementor-view-default elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"2d5562a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon elementor-divider__element\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-burn\"><\/i><\/div>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-81d5772 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"81d5772\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-982945c\" data-id=\"982945c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-925f791\" data-id=\"925f791\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5daafaa elementor-widget elementor-widget-heading\" data-id=\"5daafaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Baixe nosso aplicativo<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c0b9aa1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c0b9aa1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ba96e44\" data-id=\"ba96e44\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9d4e81c elementor-widget elementor-widget-image\" data-id=\"9d4e81c\" data-element_type=\"widget\" data-e-type=\"widget\" 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PBM no Cear\u00e1 Transfus\u00e3o Quando transfundir Como evitar a transfus\u00e3o desnecess\u00e1ria Procedimento de transfus\u00e3o Suspeita de rea\u00e7\u00e3o transfusional Testes pr\u00e9-transfusionais Dicas Evid\u00eancias Download Fale conosco X Home sobre PBM O que \u00e9 PBM? PBM no Cear\u00e1 Transfus\u00e3o Quando transfundir testes pr\u00e9 transfusionais Procedimento de transfus\u00e3o Suspeita de rea\u00e7\u00e3o &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/educasangue.com.br\/index.php\/suspeita-de-reacao-transfusional\/\" class=\"more-link\">Continue lendo<span class=\"screen-reader-text\"> &#8220;Suspeita de rea\u00e7\u00e3o transfusional&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-404","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Suspeita de rea\u00e7\u00e3o transfusional - EducaSangue<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/educasangue.com.br\/index.php\/suspeita-de-reacao-transfusional\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Suspeita de rea\u00e7\u00e3o transfusional - EducaSangue\" \/>\n<meta property=\"og:description\" content=\"Home sobre PBM O que \u00e9 PBM? 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