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  • Intraop - Hemorrage and Bleeding Diathesis

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    Kezia Imanuella
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    This document provides guidance on treating a patient experiencing intraoperative hemorrhage. It outlines steps to take depending on whether the bleeding is catastrophic or non-catastrophic, including correcting surgical sites, treating potential causes, and administering blood products like fresh frozen plasma, platelets, cryoprecipitate, or medications like DDAVP, amicar, or aprotinin as needed based on lab test results.

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    INTRAOP.HEMORRAGE AND BLEEDING DIATHESIS

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    This document provides guidance on treating a patient experiencing intraoperative hemorrhage. It outlines steps to take depending on whether the bleeding is catastrophic or non-catastrophic, including correcting surgical sites, treating potential causes, and administering blood products like fresh frozen plasma, platelets, cryoprecipitate, or medications like DDAVP, amicar, or aprotinin as needed based on lab test results.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views1 page

    Intraop - Hemorrage and Bleeding Diathesis

    Uploaded by

    Kezia Imanuella
    This document provides guidance on treating a patient experiencing intraoperative hemorrhage. It outlines steps to take depending on whether the bleeding is catastrophic or non-catastrophic, including correcting surgical sites, treating potential causes, and administering blood products like fresh frozen plasma, platelets, cryoprecipitate, or medications like DDAVP, amicar, or aprotinin as needed based on lab test results.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PATIENT WITH

    INTRAOPERATIVE
    HEMORRHAGE

    Noncatastrophic
    Catastrophic bleeding
    bleeding

    Correct surgical bleeding sites

    Obtain appropriate lab tests Previously hemostatic sites bleeding?

    Correct hypothermia,
    acidosis, dilution

    Treat likely causes


    Suspect coagulation
    Suspect fibrinolysis
    deficiency

    Platelets
    Protamine if
    FFP Euglobin clot lysis time, thrombin
    appropriate Platelet count, activated clotting time,
    DDAVP ? time, prothrombine time.
    Platelet count, fibrinogen, FDP prothrombin time,
    aPTT, Ca2+

    No improvement
    Platelet count,
    Euglobinn clot lysis time,
    fibrinogen,FDP
    thrombin time abnormal; If abnormal results,
    abnormal;
    suspect primary fibrinolysis treat with appropriate
    suspect DIC
    Cryoprecipitate products
    Aprotinin
    Amicar Amicar
    Correct underlying Aprotinin
    cause,replace
    appropriate factors

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