Haemorrhage Flashcards

1
Q

What are the signs of a haemorrhage

A
Tachypnoea 
Tachycardia 
Weak pulses 
Anaemia 
Pale MM
Slow CRT
Hypotension! 
Shock
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2
Q

What are the four most common haemorrhages

A

Haemoabdomen
Pelvic fracture
Arterial/ venous bleed
Clotting disorder

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3
Q

What are some diagnostics for general haemorrhage

A

Bloods- PCV, lactate
Clinical assessment
ABCD
MBS focus on circulation

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4
Q

How do you diagnose haemoabdomen

A
Abdomencentesis 
Ultrasound 
Intravascular PCV/ TP 
Clotting times 
Platelet count (clotting hint)
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5
Q

Treatment for haemoabdomen

A

Fluids
Blood products- FWB FFP PRBC
Surgery
Drain for comfort

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6
Q

Signs for pelvic fracture

A
Pain
Unable to walk 
Tachycardia 
Weak pulses 
Tachypnoea
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7
Q

Treatment for a cat with a pelvic fracture includes

A
Analgesia 
Fluids 
Surgery 
Cage rest 
Rotate every 4hrs
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8
Q

What are the dangers of a haemothorax

A

Pressure on lungs

Poor perfusion via hypovolaemia (bc we are losing blood into thorax)

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9
Q

What are the two main treatments for haemothorax

A

Thoracocentesis

Fluids

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10
Q

How do you diagnose haemothorax

A

Clotting times/ platelet count/BMBT
History of trauma
Exposure to rodenticide

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11
Q

What is AUTOlogus transfusion?

A

Transferring the patients own blood back to them

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12
Q

What are the risks of AUTOlogus transfusion

A

Bacterial contamination
RBC damage
High cost with filter and cell saver

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13
Q

Overall what is the basic guideline for treatment of a haemorrhage

A

Stem bleed
Stabilise circulation, perfusion and resp
Replenish lost blood
Treat underlying cause

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14
Q

What is hypovolaemia

A

Low circulating volume

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15
Q

What is early compensated shock?

A

Barorecptors compensate, preserve IV volume and BP allowing oxygen support

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16
Q

Signs of early compensated shock

A

Mild tachycardia
Norm/ elevated BP
Rapid CRT
Blinding pulses

17
Q

What is early decompensated shock?

A

Medium blood loss

Too large to be compensated by baro

18
Q

Signs of early decompensated shock

A
Tachycardia 
Hypotension 
Pale MM
Long CRT 
Hypothermia 
Depression
19
Q

What is late decompensated shock

A

Large blood loss

Body can’t support organs via perfusion= organ failure

20
Q

Signs of late decompensated shock

A
Bradycardia 
Hypotension 
Pale/cyanotic MM
-CRT
Hypotension 
Stupor
21
Q

What does stupor mean

A

Drunk