Haematology Flashcards

1
Q

What factors of a prosthetic valve replacement affect the risk of anticoagulation referral?

What would the daily thrombosis risk be?

A

valve location - mitral more risk than aortic
valve material - metal more than prosthetic

risk is less than 1%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What drugs are used to reverse warfarin?

A

Vit k 10mg IV
Prothrombinex 50u/kg iv
FFP 2 units

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name 6 lab targets post massive transfusion

A
  1. PH >7.2
  2. Lactate <4
  3. Ca >1.1
  4. Platelets over 50
  5. INR less than 1.5
  6. fibrinogen over 1
  7. aptt less than 1.5 normal
  8. base excess less than - 6
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In an acute bleeder what are the 5 steps of management

A

Resus
Reversal
Analgesia - fentanyl
Specific - IR
Disposition - ICU/HDU for monitoring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the findings in this CT of bleeder

A

left sided abdominal wall haematoma
arterial blush - active bleeding
Swirl sign – hypodensity – suggesting active bleeding

NB negatives
No haemoperitoneum / pneumoperitoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

in a child with petichial rash

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly