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Hemolytic reaction

Written by the Fiveable Content Team • Last updated August 2025
Written by the Fiveable Content Team • Last updated August 2025

Definition

A hemolytic reaction is an adverse immune response where red blood cells are destroyed by antibodies. This often occurs during blood transfusions when the donor blood type is incompatible with the recipient.

5 Must Know Facts For Your Next Test

  1. Hemolytic reactions can be acute or delayed, with acute reactions occurring within 24 hours of transfusion.
  2. Symptoms include fever, chills, back pain, and dark urine due to hemoglobinuria.
  3. The most common cause is ABO incompatibility between donor and recipient blood types.
  4. Direct antiglobulin test (DAT) is used to diagnose hemolytic reactions.
  5. Immediate treatment involves stopping the transfusion and providing supportive care such as hydration and medications to manage symptoms.

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