New Tag for NBME form 11, directly relates to the ans of the Q, see below:
A 22-year-old man has a temperature of 39.5°C (103.1°F) 1 hour after initiation of a transfusion of packed red blood cells for a hemoglobin concentration of 7 g/dL. Yesterday, he underwent open reduction and internal fixation of a fractured femur sustained in a motor vehicle collision. He received prophylactic cefazolin prior to the operation and is now receiving enoxaparin. He is otherwise healthy and has no known allergies. The remainder of the vital signs are within normal limits. Examination shows no abnormalities. Which of the following is the most appropriate next step in management?
Answer: Discontinuation of the blood transfusion
Acute febrile nonhemolytic transfusion reactions are a common type of transfusion reaction. Discontinuation of the blood transfusion is the most appropriate next step in management