Q3 Shock/burns Flashcards
See cards 58-67 of pulm
What is the BEST indicator of hydration status?
UOP: 30-50ml/hr in adults, and 0.5ml/kg/hr in Peds.
What is a common method for maintenance IVF therapy?
For a 76kg patient?
100ml/kg for 1st 10kg, 50ml/kg for next 10-20kg + 20ml/kg for every kg greater than 20
1000+1000+920 = 2,920ml/day = 121ml/hr.
When should vasopressors NOT be used in hypovolemia?
When shock is 2* to or accompanied by cardiac failure.
For hemorrhagic shock, what is the SBP and MAP target?
Permissive hypotension
SBP<90mmHg
MAP <55
Since symptoms are vague, you might not catch hemorrhagic shock in these stages?
Stage I and II. Most trauma patients have a lot of adrenalin going on - they are naturally going to be anxious, antsy, tachypneic and tachycardia……. Or are they??
CaCl every _____ Units PRBC during MTP?
4 units to maintain Ca++>1.0
What should we administer to patients with severe bleed within 3 hours of their traumatic injury?
Anti-fibrinolytic therapy
If a patient with an unknown blood type gets a infusion of LTOWB, then what will their subsequent infusions be fore up to 1mo?
LTOWB or group O, because it is not possible to test their blood type after receiving LTOWB.
FWB can be stored for?
35days in CPDA-1
21 Days CPD
8hours at room temp.
Universal donor?
O neg.
What plasma is considered universal? However what if you don’t have it?
Type AB is considered Universal and can be given to anyone, however plasma type A has such low antiB antigens that it can be used instead in the absence of AB.
Is kcentra (4-factor ______ pcc) activated or unactivated?
3-factor Profiling/bebulin?
Febia?
kcentra = UNactivated
UN activated
ACTIVATED
Kcentra MOA.
SE?
4-factor unactivated pcc
Increased levels of vit K dependent coagulation factors (II, VII, IX and X and C + S)
SE: hypotension, tachycardia, a fib, Pulm Edema, HA, thrombosis, flushing, MI.
3-factor unactivated pcc (Profilnine/bebulin) MOA?
SE?
MOA: replace deficient clotting factor including factor, II, XI, X and some VI.
Control bleeding in those with little factor IX (hemophilia B or Christmas disease)
SE - similar to 4-factor