Blood, plasma etc Flashcards
1
Q
What do we carry?
A
4 units O- PRBC
6 units lyophilised plasma (4 haemorrhage control, 2 medical drugs bag)
FFP 4?
2 Calcium (1 fluid warmer pouch in haemorrhage control, 1 arrhythmia in medical drugs)
2
Q
Credo box contents
A
Blood or plasma + paperwork
Data logger
Pre-transfusion sampling kit (we don’t actually do this…)
3
Q
Indications
A
Severe haemorrhagic shock:
- External haemorrhage controlled and packaged
- Clinical assessment including hx, MOI, physiology (SBP <=100) and response to fluid (e.g. from SECAMB)
- Obstructive shock (tension and tamponade excluded)
- Lactate >=2.5
- Consider vasoactive head injury, neurogenic shock, drugs
Consider in TCA where hypovolaemia judged to be a major contributing factor
Consider Cons call
4
Q
Process / flowchart
A
5
Q
TXA
A
1g in 10ml (2 x 5ml x 100mg/ml)
Adult dose 1g over 10mins
Paeds dose - 15mg/kg over 10mins
6
Q
LyoPlas administration
A
- Team agree indicated
- Check in date
- Reconstitute:
- Connect transfer set to water bag (remember to close clamp)
- Pierce plasma bottle
- Transfer water
- Reconstitute - swirl, DON’T shake. Ready when all solid particles dissolve
- Remove transfer set and tranfuse with standard IV giving set
- Place blood band on patient
- Remove and complete plasma traceability tag from plasma bottle - Gary’s desk
- Complete tranfusion record sheet
7
Q
PRBC transfusion checklist
A
- Unit ID number matches paperwork
- Confirm O-
- Expiry date
- Physical check - looks normal, no large clots, no discoloration
8
Q
PRBC administration
A
- Team agree tranfusion indicated
- Check internal seal on credo box intact
- Pre-transfusion sample
- Remove one unit blood and CLOSE box
- Two HCP check
- Blood band on patient
- Transfuse via warrior lite
- Retain labels for completion - transfer sticker to space marked “HEMS ID”
- Retain unit number sticker from each used blood label - flight board
- After completion blood labels go into blood box
- Advise desk blood given
Remember TXA and calcium after every 2 units
