Haematology Tutorial

Question 1

Haemophilia A is factor ? Deficiency?

Answer 1

8

Question 2

How should treatment be carried out if someone is on a dual combo of aspirin and clopidogrel? Why?

Answer 2

Risk of thromboembolism from stopping drugs early > bleeding risk

• Will be more prolonged bleeding up to 1h but can be stopped locally so note for treatment time
• should start on one area e.g. 1XLA then assess bleeding before continuing
• treatment should be done in stages for higher bleeding risk

Question 3

Someone with moderate haemophilia has what % factor in body?

Answer 3

1-5%

Question 4

What is von willibrands disease? How treated? Different types?

Answer 4

Issue with blood clotting due to decreased Von Willebrand factor

Type 1
- lower than normal levels

Type 2
- normal amounts made but doesn’t work as it should

Type 3
- little to no VWF

Treated with desmopressin / factor 8 concentrate

Question 5

Give some local factors for risk of candida infection

Answer 5

Denture wearers

Antibiotic use?

Local corticosteroid use - beclomethasone inhaler

Xerostomia - drug induced, radiotherapy induced, sjogrens

Question 6

Give some general risk factors for candida infection

Answer 6

Drugs

Extremes of age

Endocrine disorders
- diabetes and cushings

Immunodeficiency

Nutritional deficiency
- Fe

Smoking

Question 7

What is warfarin?

Answer 7

Vit K dependant anticoagulant