When should a nurse stop a blood transfusion based on patient symptoms?

Stopping a blood transfusion is critical to ensuring patient safety, particularly in response to symptoms indicating a transfusion reaction. A rapid bounding pulse accompanied by elevated blood pressure can be indicative of a severe reaction, such as hemolytic transfusion reaction or fluid overload. In these cases, the patient's cardiovascular system reacts adversely to the transfused blood, which can lead to complications such as heart failure or shock.

Recognizing this symptom is crucial for timely intervention. It indicates that the patient's body is under distress and may require immediate medical evaluation and treatment. Monitoring vital signs, including pulse and blood pressure, during transfusions is a standard nursing practice to detect potential complications early.

While other symptoms, such as chest pain or fever, may also suggest complications, a rapid bounding pulse and elevated blood pressure closely indicate significant circulatory distress, warranting the immediate cessation of the transfusion. This proactive response can help to mitigate risks and support the patient's safety.