Haematology Flashcards
What factors of a prosthetic valve replacement affect the risk of anticoagulation referral?
What would the daily thrombosis risk be?
valve location - mitral more risk than aortic
valve material - metal more than prosthetic
risk is less than 1%
What drugs are used to reverse warfarin?
Vit k 10mg IV
Prothrombinex 50u/kg iv
FFP 2 units
Name 6 lab targets post massive transfusion
- PH >7.2
- Lactate <4
- Ca >1.1
- Platelets over 50
- INR less than 1.5
- fibrinogen over 1
- aptt less than 1.5 normal
- base excess less than - 6
In an acute bleeder what are the 5 steps of management
Resus
Reversal
Analgesia - fentanyl
Specific - IR
Disposition - ICU/HDU for monitoring
What are the findings in this CT of bleeder
left sided abdominal wall haematoma
arterial blush - active bleeding
Swirl sign – hypodensity – suggesting active bleeding
NB negatives
No haemoperitoneum / pneumoperitoneum
in a child with petichial rash