Haemorrhage

Question 1

How do you treat Shock?

Answer 1

fluid challenge 300-500ml over 10-20 mins + monitor response

Question 2

What possible fluids can be used for fluid challenge?

Answer 2

crystalloids
colloids
blood

Question 3

What should be used if fluids don’t work in a fluid challenge?

Answer 3

noradrenaline - alpha agonist causing vasoconstriction

dopamine

Question 4

What is class 1 hypovolaemia?

Answer 4

<15% blood loss, monitor

Question 5

What is class 2 hypovolaemia?

Answer 5

15-30% blood loss, possible need for blood products, decreased pulse pressure, increased HR

Question 6

What is class 3 hypovolaemia?

Answer 6

31-40% blood loss, need for blood products
decreased pulse pressure, BP, GCS, urine output
increased HR and RR

Question 7

What is classi 4 hypovolaemia?

Answer 7

> 40% blood loss, need for massive transfusion protocol
decreased pulse pressure, BP, GCS, urine output
increased HR and RR

Question 8

What blood figures do you want to maintain during haemorrhage?

Answer 8

Hb >80
APTT + PT <1.5
Platelet >50
Fibrinogen >1.5