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management diagnosis hematology thresholds blood differential platelet product reactions thrombocytopenia treatment bruising cancer coagulation criticalcare daily dic disorders disposition disseminated
Indications for Transfusion Packed RBCs • Hgb <7 g/dL or hematocrit <21% in a patient with uncompromised
Indications for Transfusion ... minor bedside procedure ... Platelet transfusions ... 2 • Bedside procedure ... Willebrand disease #Transfusion
Thresholds for Transfusion of Platelets in Adults Major surgery or invasive procedure, no active bleeding - ≤
Thresholds for Transfusion ... of Platelets in ... surgery or invasive procedure ... undergoing invasive procedure ... #Management #Platelets
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 Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
donor (apheresis) platelets ... Causes purpura & ... cause of transfusion ... coagulopathy & ↑bleeding ... more likely to cause
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
, due to anti-platelet ... Causes purpura & ... cause of transfusion ... common following platelet ... more likely to cause
Procedure Risks and Platelet Targets for Transfusion LOW RISK - Transfuse ≥ 20,000/uL • Paracentesis, EGD or
and Platelet Targets ... for Transfusion ... Prophylactic variceal bleeding ... Aguila @enrrikke #Platelet ... #Transfusion #thresholds
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
and Platelet Disorders ... History: - Prior platelet ... - History of bleeding ... epistaxis, gingival bleeding ... menstrual - Recent procedures
Intern Pocket Cards - Daily Rounding and Disposition Checklist Daily Checklist: • FEN/GI:
and Disposition Checklist ... Daily Checklist ... [ ] Upcoming procedure ... Contraindications: active bleeding ... , low platelet count
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
incompatible blood transfusion ... Findings in DIC: • Platelet ... Thrombocytopenia - Platelet ... Treat primary cause ... hydration • RBC transfusion
Causes of Bleeding / Bruising - Differential Diagnosis Algorithm Thrombocytopenia - Quantitative Defect • Decreased Production •
Causes of Bleeding ... Differential Diagnosis Algorithm ... Sequestration Disordered Platelet ... Coagulation #Bleeding ... #Causes #Hematology
Management of Jehovah's Witness patient in ICU Clarify which products may be used - Discuss
periodically check platelets ... 20% Treat any bleeding ... aggressively - Early procedural ... control of bleeding ... twitter.com/PulmCrit #Checklist
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