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Flashcards in Thrombosis Deck (6)
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1
Q

when do you give cryoprecipitate?

A

if massive bleeding or microvascular bleeding
AND
fibrinogen is

2
Q

who requires irridiated blood?

A
congenital immunodef
intrauterine transfusion
neonatal exchange transfusion
lymphoproliferative disease
pt undergoing BM or stem cell transplant
patient receiving any - mabs
3
Q

what are complications of massive transfusion?

A
  1. dilution coagulopathy
  2. Hypothermia and arrythmia go together
  3. Citrate toxicity - hypocalcemia and Low Mg
  4. Metabolic acidosis
  5. high K
4
Q

when would a sickle cell patient require pRBC transfusion?

A

aplastic crisis
splenic sequestration
acute chest syndrome
stroke

5
Q

what are contraindications to heparin and warfarin

A
pregnancy - specific for warfarin
recent CNS bleed
bleeding from inaccessible site
malignant HTN
bacterial endocarditis
recent Sx
6
Q

what is the WU for a patient who is actively bleeding ? etiology ?

A
CBC
INR, PTT
fibrinogen
factor VIII
factor 9, 12
factor 5 for early DIC