Answer templates/tips

Question 1

Transfusion

Answer 1

Immediate patient safety
TP to report SHOT/MHRA
RCA using human factors tool
New SOP

Question 2

Haemostasis - Anticoag

Answer 2

Renal function
Platelets
Duration

Question 3

Acute haemophilia

Answer 3

On demand factor
Pre- and post- factor level + BU
Analgesia
Ice, compression, elevation, rest
Imaging

Early bleed 20/kg
Extensive bleed 30/kg (60/kg F9)
Surgery 50/kg

Refacto/advate

Question 4

Pregnant bleeding disorder

Answer 4

Think:
Pregnancy
Labour
Delivery
3rd stage
Aftercare
Cord blood
Baby follow up

Question 5

Obstetric haemostasis

Answer 5

Manage in specialist centre with MDT inc haem, obs, paeds, cardio etc
Documented plan
Pregnancy management
Birth management
Post natal
Baby