Description

Przybelski et al reported a grading scheme for adverse reactions to a blood substitute. These are similar to the Clinical Toxicity Criteria (CTC) used for chemotherapy. The authors are from Baxter Healthcare Corporation.


 

Patient selection: status post infusion of a blood substitute

 

Allergic measures:

(1) drug fever

(2) rash

(3) bronchospasm

(4) anaphylaxis

Allergic Reaction

Finding

Grade

drug fever

none

0

 

< 38°C (< 100.4°F)

1

 

>= 38°C

2

rash

none

0

 

transient

1

 

urticaria

2

 

serum sickness

3

bronchospasm

none

0

 

mild

2

 

requires parenteral therapy

3

anaphylaxis

absent

0

 

present

4

 

where:

• A very high drug fever would seem to be Grade 3.

 


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