Bleeding And Sepsis 2 Flashcards
What is in packed red blood cells and what is the effect per unit?
RBS, WBC and Plasma
Increase HCT by 3% and HgB by 1g
Same question for platelets?
Platelets, RBC, WBC and plasma
Increase 5000-10000 platelets per unit
Fresh frozen plasma?
Fibrinogen, at3, factors 5 and 8
Increase fibrinogen by 10 mg
Cryopercipitate?
Fibrinogen, Von willllebrand factor, 8 and 13
Increase fibrinogen by 10mg
How do we define febrile morbidity?
Temp over 100.4 for more than 2 consecutive days
Most of the fevers are due to what?
Endometritis
What type of organism cause 70% if these after delivery infections and what are 3 specific pathogens?
Anaerobic
Peptostreptococcus, peptococcus, and streptococcus
What are the two most common aerobic infections?
E. coli and enterococci
Mixed infections occur with what pathogen?
Bacteroide fragilis
What are the two key clinal findings for puerperal sepsis?
Postpartum fever and increasing uterine tenderness on postpartum day 2 or 3
What two drugs to give for broad spectrum for these infections?
Ampicillin and gentamicin
What drug do we need to give for bacteroide fragilis?
Clindamycin
Comparisons between ovarian vein thrombophlebitis and deep septic pelvic vein thrombophlebitis?
Fever, how does the patient appear, any radiographic evidence?
Ovarian: fever and ab pain within 1 week after delivery, appear clinically ill, 20% of the time thrombosis in ovarian vein can be seen on radiograph.
DSPVT: unlocalized fever not responsive to antibiotics, don’t appear clinically ill, no radiographic evidence of thrombosis
How do we treat septic pelvic thrombophlebitis?
If no documented thrombosis, heparin until fever is gone X 48 hours
If documented, anticoagulant for 6 weeks and repeat image
