Haemorrhage Flashcards
What are the signs of a haemorrhage
Tachypnoea Tachycardia Weak pulses Anaemia Pale MM Slow CRT Hypotension! Shock
What are the four most common haemorrhages
Haemoabdomen
Pelvic fracture
Arterial/ venous bleed
Clotting disorder
What are some diagnostics for general haemorrhage
Bloods- PCV, lactate
Clinical assessment
ABCD
MBS focus on circulation
How do you diagnose haemoabdomen
Abdomencentesis Ultrasound Intravascular PCV/ TP Clotting times Platelet count (clotting hint)
Treatment for haemoabdomen
Fluids
Blood products- FWB FFP PRBC
Surgery
Drain for comfort
Signs for pelvic fracture
Pain Unable to walk Tachycardia Weak pulses Tachypnoea
Treatment for a cat with a pelvic fracture includes
Analgesia Fluids Surgery Cage rest Rotate every 4hrs
What are the dangers of a haemothorax
Pressure on lungs
Poor perfusion via hypovolaemia (bc we are losing blood into thorax)
What are the two main treatments for haemothorax
Thoracocentesis
Fluids
How do you diagnose haemothorax
Clotting times/ platelet count/BMBT
History of trauma
Exposure to rodenticide
What is AUTOlogus transfusion?
Transferring the patients own blood back to them
What are the risks of AUTOlogus transfusion
Bacterial contamination
RBC damage
High cost with filter and cell saver
Overall what is the basic guideline for treatment of a haemorrhage
Stem bleed
Stabilise circulation, perfusion and resp
Replenish lost blood
Treat underlying cause
What is hypovolaemia
Low circulating volume
What is early compensated shock?
Barorecptors compensate, preserve IV volume and BP allowing oxygen support