Blood loss

Question 1

Define blood loss?

Answer 1

1. loss of 50% blood volume in 3 hours
2. blood loss of 150ml/min
3. loss of one blood loss volume equivalent in 24 hours

Question 2

What is a massie transfusion?

Answer 2

1. When we give 10 units of RBC’s 24 hours

2. When we give 3 units of RBC’s per hour

Question 3

What are the cases hat we can expect blood loss?

Answer 3

1. trauma
2. obstetrics-abruptio placenta, placenta praevia, genital tract tear
3. ruptured abdominal aneurysms
4. cardiac

Question 4

What is the management of blood loss?

Answer 4

1. communication-surgeon and blood loss
2. stop the bleeding
3. give oxygen
4. prevent and manage the coagulopathy

Question 5

What is the normal value of lactate?

Answer 5

It is less than 2

Question 6

What temperature is blood stored at?

What do we need to do before administering the blood?

Answer 6

1. 2-4 degrees

2. warm the blood before transfusing

Question 7

What causes your clot to dissolve?

Answer 7

plasmin

Question 8

What can we give to stop the change from plasminogen to plasmin?

Answer 8

1. tranexamic acid within 3 hours of injury

Question 9

At what number do we give platelets?

Answer 9

<50

if trauma we give platelets until 100

Question 10

What does hyperkalaemia look like on ECG?

Answer 10

Increased/tall T wave which makes the other rhytms shorter