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
- dilution coagulopathy
- Hypothermia and arrythmia go together
- Citrate toxicity - hypocalcemia and Low Mg
- Metabolic acidosis
- 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