What should a nurse do if a patient develops chills during a blood transfusion?

When a patient develops chills during a blood transfusion, stopping the transfusion immediately is the correct action to take. Chills can be a sign of a serious reaction, such as an allergic response or a fever due to hemolytic transfusion reactions. Immediate cessation of the transfusion prevents further exposure to the blood product that may be causing the reaction, which is critical for patient safety.

Moreover, stopping the transfusion allows the healthcare provider to assess the patient more thoroughly and initiate appropriate interventions, such as administering supportive care or medications. Following up with monitoring vital signs and maintaining an intravenous line with normal saline can also be essential until the situation has been evaluated and managed, thereby minimizing the risk of complications.

Continuing the transfusion—whether at a slower rate or otherwise—could exacerbate the patient’s condition. Timely action can be life-saving, emphasizing the importance of recognizing and reacting to adverse reactions promptly.