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Calcium Supplementation During Massive Transfusion 
- Mike O'Brien
@MikeEMPharmD

#Pathophy #Management #Hypocalcemia #Calcium #Supplementation #MassiveTransfusion #Protocol
Supplementation During Massive ... Transfusion -
Summary Infographic for Massive Transfusion Protocol

 - MTP is indicated for patients with prior or ongoing
Infographic for Massive ... Transfusion Protocol ... #Management #Massive ... #Transfusion #Protocol
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 → Direct pressure, silver nitrate for small laceration
 → Repair with
cause → Fundal massage ... Care team for massive ... transfusion protocol
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
HEMORRHAGE & ACTIVATE MASSIVE ... TRANSFUSION PROTOCOL ... • Activate massive ... transfusion protocol
Underlying causes of PEA arrest: H’s and T’s 

Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hypo/Hyper-kalemia, Hypothermia
Toxins, Tamponade,
(heart: acute, massive ... Thrombosis (lungs: massive ... #arrest #HsTs #Differential
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
HyperKalemia - Differential ... intake • Blood transfusion ... blockers - MCW Nephrology ... #HyperKalemia #Differential
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... injury • Blood transfusion ... Blood transfusion ... #hyperkalemia #differential ... potassium #high #nephrology
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
diet • Blood transfusion ... Diagnosis #algorithm #nephrology ... #potassium #differential
Hyperkalemia - Differential Diagnosis Algorithm

#Hyperkalemia #Differential #Algorithm #Diagnosis #Nephrology
Hyperkalemia - Differential ... #Hyperkalemia #Differential ... Algorithm #Diagnosis #Nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... injury • Blood transfusion ... Blood transfusion ... #hyperkalemia #differential ... potassium #high #nephrology