Bleeding And Sepsis 2 Flashcards

1
Q

What is in packed red blood cells and what is the effect per unit?

A

RBS, WBC and Plasma

Increase HCT by 3% and HgB by 1g

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2
Q

Same question for platelets?

A

Platelets, RBC, WBC and plasma

Increase 5000-10000 platelets per unit

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3
Q

Fresh frozen plasma?

A

Fibrinogen, at3, factors 5 and 8

Increase fibrinogen by 10 mg

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4
Q

Cryopercipitate?

A

Fibrinogen, Von willllebrand factor, 8 and 13

Increase fibrinogen by 10mg

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5
Q

How do we define febrile morbidity?

A

Temp over 100.4 for more than 2 consecutive days

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6
Q

Most of the fevers are due to what?

A

Endometritis

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7
Q

What type of organism cause 70% if these after delivery infections and what are 3 specific pathogens?

A

Anaerobic

Peptostreptococcus, peptococcus, and streptococcus

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8
Q

What are the two most common aerobic infections?

A

E. coli and enterococci

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9
Q

Mixed infections occur with what pathogen?

A

Bacteroide fragilis

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10
Q

What are the two key clinal findings for puerperal sepsis?

A

Postpartum fever and increasing uterine tenderness on postpartum day 2 or 3

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11
Q

What two drugs to give for broad spectrum for these infections?

A

Ampicillin and gentamicin

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12
Q

What drug do we need to give for bacteroide fragilis?

A

Clindamycin

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13
Q

Comparisons between ovarian vein thrombophlebitis and deep septic pelvic vein thrombophlebitis?
Fever, how does the patient appear, any radiographic evidence?

A

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

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14
Q

How do we treat septic pelvic thrombophlebitis?

A

If no documented thrombosis, heparin until fever is gone X 48 hours
If documented, anticoagulant for 6 weeks and repeat image

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