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diagnosis icu hematology treatment admissions admitting bundle dic disseminated hemophilia insertion intravascular jehovahs pearls placement prerounding procedure witnesses workup
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
• Prolonged PT ... /PTT • Low plasma ... Fibrinogen: ↓ • PT ... /INR: ↑ • PTT: ... INR < 2.3 - APTT
Management of Jehovah's Witness patient in ICU Clarify which products may be used - Discuss
Witness patient ... - Be aware of coagulation ... platelets, INR, PTT ... twitter.com/PulmCrit #Checklist ... #ICU #CriticalCare
Hemophilia - Diagnosis and Management Diagnosis: • Consistent bleeding history (unless screening for disease in family members
established disease) • aPTT ... mixing study (aPTT ... normal in mild cases ... ) • PT/INR & von ... • If possible, patients
Chest Tube Placement Checklist PREPARATION o Consent o Position Patient o Monitoring o Time Out o Review
Tube Placement Checklist ... Consent o Position Patient ... the tube as it passes ... @nickmmark #ChestTube ... #Management #CriticalCare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... and go see the patient ... to know if the pt ... esp in work-up/management ... diagnosis #workup #criticalcare
ICU Pre-Rounding Bundle Checklist VITALS: trends! • Important to know if the pt is getting better or
Pre-Rounding Bundle Checklist ... to know if the pt ... settings + what the patient ... #CriticalCare # ... Management
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