Acute Care - Major Haemorrhage Flashcards
1
Q
what is normal blood volume?
A
5L (9-12 pints)
2
Q
what is major haem defined as?
A
replacement of total BV in <24hrs
or 1/2 BV in 3 hours
3
Q
difference between crossmatch and G+S?
A
G+S = do first, matches Abs
crossmatch = blood provided matches
4
Q
what can be raised in a GI bleed?
A
urea
5
Q
Tx for major haemorrhage?
A
3 units O- can give immediately
fluids
tranxemic acid (if trauma - 1g over 10 mins)
6
Q
what is contained in a shock pack?
A
4 units RBC
4 units FFP
1 unit platelets
7
Q
what complications (metabolic) can occur in major haemorrhage?
A
hypocalcaemia hyperkalaemia hypothermia acidosis hypomagnesium
8
Q
Tx for hyperkalaemia?
A
10mls 10% calcium gluconate
glucose
salbutamol
insulin
