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Haematology HK > Massive haemorrhage > Flashcards

Massive haemorrhage Flashcards

1
Q

what is massive haemorrhage by blood volume

A

150ml/minute
50% blood volume in 3 hours
entire blood volume in 24 hours

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2
Q

what is massive haemorrhage in obstetrics

A

minor 500-1000ml

major >1000ml

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3
Q

what clinically marks massive haemorrhage

A

HR >110
systolic BP <90
use of O-ve blood

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4
Q

supportive measures in bleeding

A

blood components

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5
Q

definitive management in haemorrhage

A

stop the bleeding

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6
Q

first steps in massive haemorrhage protocol

A

call blood bank
send urgent samples (FBC, coag, fibrinogen, crossmatch, U+E, calcium)
ABCDE

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7
Q

how often should blood tests be repeated

A

every half hour

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8
Q

what components are given to patient of massive haemorrhage

A

red cells
fresh frozen plasma (coag factors)
platelets
cryoprecipitate - replaces fibrinogen

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9
Q

what is the ratio to which RBC and FFP should be first instance

A

2RBC:1FFP

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Haematology HK (22 decks)

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