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Oral surgery mod 6 > Complications - bleeding > Flashcards

Complications - bleeding Flashcards

1
Q

Pre-operative assessment

A

vascular abnormalities
platelet deficit-number
platelet deficit -quality
clotting mechanism

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2
Q

petechial haemorrhage platelet count

A

50x10(9)L

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3
Q

petechial haemorrhage +ecchymosis platelet count

A

20-50x10(9)l

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4
Q

melaena, haematemesis, haematuria platelet count

A

less than 20(9)l

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5
Q

Hereditary bleeding disorders

A

Haemophillia VIII and IX
Factor XIII
vW disease
Ehlers danlos

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6
Q

acquired bleeding

A

medications
liver disease
alcoholism
haematological malignancy(lymphoma, leukaemia)

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7
Q

medical conditions that patients would take medications that affect bleeding

A

DVT
PE
cardiac syndrome
AF
MI
IHD
CVA
TIA
surgical patients at risk of thromboembolism
pregnancy

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8
Q

medications impacting bleeding

A

antiplatelets
anticoagulants
NOACs
coumarins

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9
Q

examples of anticoagulants

A

coumarins
parenteral heparin
LMW heparin
Non-vit K

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10
Q

examples of parenteral

A

heparin sodium
LMW heparin
dalteparin sodium
enoxiparin
tinzaparin

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11
Q

examples of anti platelets

A

clopidogrel
aspirin
prasugrel
ticagrelor
dipyridamole

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12
Q

NOACs examples

A

apixaban
rivaroxaban
edoxaban
dabigatran

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13
Q

coumarins examples

A

warfarin sodium
acenocoumarol
phenindione

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14
Q

3 types of bleeding

A

primary
reactionary
secondary

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15
Q

what is reactionary bleeding

A

2-3 hours post op

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16
Q

what is secondary bleeding

A

up to 14 days
probably due to infection

17
Q

normal bleeding time

A

2-5 mins

18
Q

haemostatic agents

A

gelatin
collagen
cellulose based
adhesives
topical thrombin
antifibrinolytics

19
Q

what is a haematoma

A

soft tissue swelling

20
Q
A

Oral surgery mod 6 (11 decks)

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