Adverse Reaction Management:

General Procedures at Onset of Adverse Reactions:

  • Remove tourniquet and withdraw needle from arm
  • Assist patient to lie down on bed provided in the Phlebotomy areas
1- Fainting:

Symptoms:

Weakness, sweating, dizziness, pallor, loss of consciousness, convulsions, cold skin, drop in blood pressure, slow pulse rate.

Procedures:

  • Loosen tight clothing
  • Raise the patient’s feet above the level of the /patient’s head
  • Apply cold compress to forehead and back of neck
  • Administer aromatic spirits of ammonia by inhalation.
  • Patient’s response by coughing may elevate the blood pressure.
  • Call (A&E) Accident & Emergency if patient cannot recover for 5-10 min.
2- Nausea and Vomiting:

Symptoms:

Stomach pain, dizzy, sweating, cold skin, vomiting.

Procedures:

  • Instruct patient to breathe slowly and deeply.
  • Apply cold compress to forehead and back of neck.
  • Turn head to the side
  • Provide receptacle for vomitus and tissues
  • Provide cup of water to rinse mouth
3- Hematoma:

Symptoms:

Swelling of skin at needle entry sight.

Procedures:

  • Immediately remove the tourniquet and the needle from the patient’s arm
  • Place three or four sterile gauze squares over the hematoma and apply firm pressure for 7-10 mins
  • with the patients arm held above the heart level
  • Apply dressing cover firmly
  • Instruct patient that swelling/bruising may occur
  • Apply warm cloth if pain or swelling persists,
  • Apply pressure to the venipuncture site.